Most Relevant Information
Provider Data
| NPI Number: | 1003408360 |
| Provider Name: | ASHLEY THERESE SHANNAK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 054849-21 |
Most Important Dates
| Enumeration Date: | 02/08/2021 |
| Last Updated: | 09/24/2021 |
Provider Practice Location
208 ROBINSON RD
HUDSON
NH
030513059
Practice Location Phone/Fax
| Phone: | 6038826700 |
| Fax: |
Provider Mailing Location
33 FIRE RD 7
LANCASTER
MA
015233045
Provider Mailing Phone/Fax
| Phone: | 9783195729 |
| Fax: |