Individual provider · Type 1 NPI

Shanique Souffrant, ARNP-CNP, FNP-BC

Family Nurse Practitioner · Boston, MA

NPI number 1104608504 Active

Practice location

300 The Fenway
Boston, MA 02115-5820

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11029239 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1104608504

Shanique Souffrant, ARNP-CNP, FNP-BC's National Provider Identifier is 1104608504, issued on Oct 19, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Oct 19, 2023.