Shannon Thebado Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Brockton, MA

NPI

1821801135

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

RN2330456 (MA)

Sex

Female

Sole proprietor

No

Enumerated

2025-01-30

Last updated

2025-01-30