Basic Information
Provider Information
NPI: 1548599020
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHEER
FirstName: DANA
MiddleName: LYNN
NamePrefix: MS.
NameSuffix:  
Credential: ACNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 20 WABAN ST
Address2:  
City: NEWTON
State: MA
PostalCode: 024581522
CountryCode: US
TelephoneNumber: 6175274606
FaxNumber: 6175274606
Practice Location
Address1: 125 NASHUA ST
Address2:  
City: BOSTON
State: MA
PostalCode: 021141101
CountryCode: US
TelephoneNumber: 6175732770
FaxNumber: 6175732769
Other Information
ProviderEnumerationDate: 12/14/2009
LastUpdateDate: 12/14/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XRN280982MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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