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NPI Code Detail

MEDICARE: LINDSAY SHETTLE

MEDICARE: LINDSAY SHETTLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN2347158MA

General Provider Information

NPI Number : 1831086461
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY SHETTLE
Provider Business Mailing Address
First Line : 1177 BOSTON PROVIDENCE TPKE
Second Line :
City : NORWOOD
State : MA
Zip : 02062-5019
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1177 BOSTON PROVIDENCE TPKE
Second Line :
City : NORWOOD
State : MA
Zip : 02062-5019
Country : US
Telephone Number : 781-278-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2025
Last Update Date : 02/05/2026

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Directions to “ LINDSAY SHETTLE ” Practice Location

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