Carolynn Mathisen in Worcester - Nurse Practitioner
Carolynn Mathisen - NPI 1023020880
Carolynn Mathisen is a Nurse Practitioner in Worcester, Massachusetts. Carolynn Mathisen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carolynn Mathisen is 1023020880. The last update date is 2009-03-05.
Carolynn Mathisen's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5083341000. The mailing address for Carolynn Mathisen is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolynn Mathisen |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5083341000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1023020880 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2009-03-05 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5083341000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 115057 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 325261 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Carolynn Mathisen by the Centers for Medicare & Medicaid Services?
The Carolynn Mathisen has been issued the NPI (National Provider Identifier) 1023020880 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Carolynn Mathisen?
The Carolynn Mathisen is physically situated at 55 Lake Ave N, in the city of Worcester, state of MA, with the postal code 16550002.
What is Carolynn Mathisen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carolynn Mathisen's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023020880 to Carolynn Mathisen?
The Centers for Medicare & Medicaid Services assigned the 1023020880 to Carolynn Mathisen on 2006-08-12.
When was the information regarding Carolynn Mathisen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carolynn Mathisen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-03-05.
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