MEDICARE: SHAE WOMENS HEALTH PC

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
1	363LW0102X	Women's Health Nurse Practitioner

General Provider Information

NPI Number	:	1043152077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAE WOMENS HEALTH PC

Provider Business Mailing Address
First Line	:	200 WALNUT STREET
Second Line	:	ST F
City	:	SAUGUS
State	:	MA
Zip	:	01906-1175
Country	:	US
Telephone Number	:	339-243-8429
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 WALNUT STREET
Second Line	:	ST F
City	:	SAUGUS
State	:	MA
Zip	:	01906-1175
Country	:	US
Telephone Number	:	339-243-8429
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AILIN RODRIGUES
Credential	:
Telephone Number	:	339-243-8429

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “SHAE WOMENS HEALTH PC ” Practice Location

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