Provider Demographics
NPI:1477644383
Name:CURRAN, SHAUNA (PA-C)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:CURRAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:HURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:D1B-30
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6013
Mailing Address - Country:US
Mailing Address - Phone:617-525-7486
Mailing Address - Fax:617-278-6965
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:D1B30
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-525-7486
Practice Address - Fax:617-278-6965
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2086363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q58792Medicare UPIN