Individual provider · Type 1 NPI

Shannon Nicole Forlivio, PA-C

Physician Assistant · Boston, MA

NPI number 1316660558 Active

Practice location

1 Boston Medical Ctr Pl # C500
Boston, MA 02118-2908

Fax (617) 638-8607

Mailing address

960 Massachusetts Avenue, Fl 2
Boston, MA 02118

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPS9068 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1316660558

Shannon Nicole Forlivio, PA-C's National Provider Identifier is 1316660558, issued on Sep 22, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Sep 15, 2023.