Individual provider · Type 1 NPI
Shalisha Kimberly Crouch, NP
Psychiatric/Mental Health Nurse Practitioner · Boston, MA
NPI number
1487898904
Active
Practice location
850 Harrison Ave
Boston, MA 02118-4001
Fax (617) 638-6836
Mailing address
720 Harrison Ave, Dob 503
Boston, MA 02118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN280992 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1487898904
Shalisha Kimberly Crouch, NP's National Provider Identifier is 1487898904, issued on Apr 28, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Oct 16, 2014.