Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAYDEAN S SHORTER, PMHNP-BC
Active Sole ProprietorKAYDEAN S SHORTER, PMHNP-BC is a 364SP0812X healthcare provider located in QUINCY, Massachusetts. NPI 1598337941 is currently active in the NPPES registry. Verify at CMS.
364SP0812X · QUINCY, MA
Registration Details
- NPI Number
- 1598337941
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2021 (5.0483438502466 yrs)
- Last Updated
- Aug 2, 2023
- License
-
MS7633832 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
460 QUINCY AVEQUINCY, MA, 021698130Browse MA providers · Browse ZIP 02169
- Phone
- 6177746090
- Fax
- 6177703749
- Primary Specialty
-
364SP0812X
364SP0812X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.