Breaux, Mandy Shenyin

Breaux, Mandy Shenyin is an individual health care provider with primary practice located at 88 Holmes St , Quincy MA 02171-2431. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Breaux, Mandy Shenyin can be contacted via phone (617) 317-3250.

Contact Information

Primary practice address
88 Holmes St Quincy MA 02171-2431
Phone: (617) 317-3250
Fax: (617) 457-6600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2274688 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN2274688 Massachusetts

Profile Details

NPI number 1568711760
LBN Legal business name Breaux, Mandy Shenyin
Credentials RN, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Nov 19th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568711760 NPPES
Connecticut MEDICAID 008042209

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