SHANNON MARIE MAIN PMHNP CNP NPI 1538885686

NPI Information

NPI: 1538885686
Provider Name: SHANNON MARIE MAIN, PMHNP, CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
75 SYLVAN ST BLDG C
DANVERS, MA
ZIP 01923
Phone: (978) 406-4164
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Shannon Marie Main, PMHNP, CNP is a psychiatric/mental health nurse practitioner in Danvers, MA. Shannon Marie Main, PMHNP, CNP NPI is 1538885686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 SYLVAN ST BLDG C
DANVERS, MA
ZIP 01923-763
Phone: (978) 406-4164
Fax: (978) 587-3220

The enumeration date for this NPI number is 10/19/2022 and was last updated on 3/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		071196-21	NEW HAMPSHIRE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNPNE10000313	MASSACHUSETTS	Yes
3	163W00000X	Registered Nurse		RN2298619	MASSACHUSETTS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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