Healthcare Provider Details

I. General information

NPI: 1629762463
Provider Name (Legal Business Name): SHALYN ALEXIS TEXEIRA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 ALBANY ST, FL 5 SHAPIRO BLDG
BOSTON MA
02118-3549
US

IV. Provider business mailing address

960 MASSACHUSETTS AVENUE FL 2
BOSTON MA
02118-2690
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN2337335
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: