Individual provider · Type 1 NPI

Shannell Renia Anderson

Student in an Organized Health Care Education/Training Program · Dorchester, MA

NPI number 1194363010 Active

Practice location

50 Redfield St Ste 300
Dorchester, MA 02122-3653

Call (781) 540-4227 Map

Mailing address

131 Beverage Hill Ave Apt 3
Pawtucket, RI 02860-6232

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194363010

Shannell Renia Anderson's National Provider Identifier is 1194363010, issued on Dec 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dorchester, MA. The record was last updated on Dec 11, 2019.