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Contact Information

KAYDEAN S SHORTER, PMHNP-BC
460 QUINCY AVE
QUINCY, MA02169-8130
 Phone: 617-774-6090
 Fax: 617-770-3749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Community

364SP0812X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for KAYDEAN S SHORTER · (Female)

NPI Number 1598337941
Status Active
Credentials PMHNP-BC (Adult Psychiatric-Mental Health Nurse Practitioner)
Entity Individual
Enumeration date 07/14/2021
Last updated 08/02/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # MS7633832
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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