Provider Demographics
NPI:1609559509
Name:MAROTE, SHOSHANAH
Entity Type:Individual
Prefix:
First Name:SHOSHANAH
Middle Name:
Last Name:MAROTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 PLEASANT ST UNIT 6645
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02742-7732
Mailing Address - Country:US
Mailing Address - Phone:646-279-4065
Mailing Address - Fax:
Practice Address - Street 1:171 BUTLER ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02744-2129
Practice Address - Country:US
Practice Address - Phone:646-279-4065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2288960163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health