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NPI Code Detail

MEDICARE: SUSANA SHAKIRA DAMIAN RN

MEDICARE: SUSANA SHAKIRA DAMIAN RN
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
1163W00000XRegistered NurseRN10004435MA

General Provider Information

NPI Number : 1871353086
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA SHAKIRA DAMIAN RN
Provider Business Mailing Address
First Line : 354 PARK ST # 310
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-2437
Country : US
Telephone Number : 978-609-2469
Fax Number :
Provider Business Practice Location Address
First Line : 354 PARK STREET
Second Line : 310
City : LAWRENCE
State : MA
Zip : 01841
Country : US
Telephone Number : 978-609-2469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2024
Last Update Date : 04/14/2026

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