Type 1 individualNPI 1962541102
MARY ELLEN SHANLEY
225XH1200X · BUZZARDS BAY, MA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 225XH1200X | 225XH1200X | Primary |
| 225XH1200X | 225XH1200X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s