Individual provider · Type 1 NPI

Idah M. Shayo, FNP

Family Nurse Practitioner · Worcester, MA

NPI number 1770869026 Active

Practice location

630 Plantation St, Wot 12th Fl
Worcester, MA 01605-2038

Fax (508) 853-5226

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN278932 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1770869026

Idah M. Shayo, FNP's National Provider Identifier is 1770869026, issued on Nov 1, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Worcester, MA. The record was last updated on Nov 1, 2011.