Healthcare Provider Details

I. General information

NPI: 1477122372
Provider Name (Legal Business Name): SHIRLEY ZHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 BANK ST UNIT 11 PMB 219
FALL RIVER MA
02720-2166
US

IV. Provider business mailing address

2 BANK ST UNIT 11 PMB 219
FALL RIVER MA
02720-2166
US

V. Phone/Fax

Practice location:
  • Phone: 508-715-6014
  • Fax: 508-213-3678
Mailing address:
  • Phone: 508-715-6014
  • Fax: 508-213-3678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2352645
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: