Lillian Shortle
Registered Nurse, Psych/Mental Health in Boston, MA. Individual provider (NPI-1).
NPI number1871392001
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1871392001
- Entity type
- Individual (NPI-1)
- Name
- Lillian Shortle
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2025
- Certification date
- Mar 10, 2025
- Last updated
- Mar 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | RN2390818 | MA | Yes |
Practice location
10 Wait St Apt B3Boston, MA 02120-3252
Phone 713-344-3244
Mailing address
10 Wait St Apt B3Boston, MA 02120-3252
Phone 713-344-3244
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