Individual provider · Type 1 NPI
Marney Blake Shattuck, PA-C
Medical Physician Assistant · Westborough, MA
NPI number
1568059004
Active
Practice location
139 Turnpike Rd
Westborough, MA 01581-2835
Mailing address
360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Other practice locations
- 55 Lake Ave N, Worcester, MA 01655-0002 · (508) 421-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA8569 (MA) |
| Medical Physician Assistant Primary | 363AM0700X | PA8569 (MA) |
Medical Physician Assistant: Definition to come...
9 other providers at this address
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- Abby Laura McCarthy, DNP, APRN, FNP-BCFamily Nurse Practitioner Westborough, MA NPI 1790515088
- Erin Friend, FNP-BCPhysician Assistant Westborough, MA NPI 1346970092
- James Zenkus, FNPNurse Practitioner Westborough, MA NPI 1952945131
- Jarrett Matthew Burr, PA-CPhysician Assistant Westborough, MA NPI 1104150374
- Julianne Elise WeberPhysician Assistant Westborough, MA NPI 1760175848
- Kate Laurel Aiello, PA-CPhysician Assistant Westborough, MA NPI 1689303323
- Kayley Jasmine Gibson, PA-CPhysician Assistant Westborough, MA NPI 1447847769
Other medical physician assistant providers in Westborough
About NPI 1568059004
Marney Blake Shattuck, PA-C's National Provider Identifier is 1568059004, issued on Dec 30, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Westborough, MA. The record was last updated on May 14, 2024.