Healthcare Provider Details

I. General information

NPI: 1245793124
Provider Name (Legal Business Name): ALANNA SHUMAN CPNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 TURNPIKE ST STE 1-3A
CANTON MA
02021-2700
US

IV. Provider business mailing address

340 TURNPIKE ST STE 1-3A
CANTON MA
02021-2700
US

V. Phone/Fax

Practice location:
  • Phone: 781-619-1500
  • Fax: 781-619-1509
Mailing address:
  • Phone: 781-608-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN2312065
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2312065
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2312065
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: