Most Relevant Information
Provider Data
| NPI Number: | 1003660150 |
| Provider Name: | SHAUN CHARLES SPANOS APRN, PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | RN255779 |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
29 ALBION ST STE 4B
WAKEFIELD
MA
018802801
Practice Location Phone/Fax
| Phone: | 7813140002 |
| Fax: |
Provider Mailing Location
28 WINTER ST
BURLINGTON
MA
018033271
Provider Mailing Phone/Fax
| Phone: | 9788668211 |
| Fax: |