Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Derby, RN

Individual provider Registered Nurse · NPI 1053509323

Shane Derby, RN is a Registered Nurse in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

729 Mass Ave
Boston, MA 02118-2318
Phone: (857) 654-1000
Fax: (857) 654-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 263329 (MA)

Record details

NPI number1053509323
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESOctober 11, 2007
Mailing address729 Mass Ave, Boston, MA 02118-2318

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