Provider Demographics
NPI:1225331739
Name:SHIFRIN, IRINA (NP)
Entity Type:Individual
Prefix:MS
First Name:IRINA
Middle Name:
Last Name:SHIFRIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 INDIAN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-5610
Mailing Address - Country:US
Mailing Address - Phone:508-655-6090
Mailing Address - Fax:
Practice Address - Street 1:71 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-4301
Practice Address - Country:US
Practice Address - Phone:617-254-4966
Practice Address - Fax:617-254-4928
Is Sole Proprietor?:No
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212787363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health