Healthcare Provider Details

I. General information

NPI: 1972971273
Provider Name (Legal Business Name): SHELLEY LYNCH CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CORDWAINER DR STE 202
NORWELL MA
02061-1671
US

IV. Provider business mailing address

200 CORDWAINER DR STE 202
NORWELL MA
02061-1671
US

V. Phone/Fax

Practice location:
  • Phone: 781-561-0656
  • Fax: 781-371-3030
Mailing address:
  • Phone: 781-561-0656
  • Fax: 781-371-3030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN260131
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: