Individual provider · Type 1 NPI
Shauntelle Malcolm, RN
Psychiatric/Mental Health Nurse Practitioner · Mattapan, MA
NPI number
1225468804
Active
Practice location
1575 Blue Hill Ave
Mattapan, MA 02126-2122
Fax (617) 296-5408
Other practice locations
- 780 Albany St, Boston, MA 02118-2524 · (857) 654-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2278372 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2278372 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225468804
Shauntelle Malcolm, RN's National Provider Identifier is 1225468804, issued on Nov 19, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mattapan, MA. The record was last updated on Aug 25, 2022.