Christine A Petruzzo in Brockton - Nurse Practitioner
Christine A Petruzzo - NPI 1831174440
Christine A Petruzzo is a Nurse Practitioner in Brockton, Massachusetts. Christine A Petruzzo practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Christine A Petruzzo is 1831174440. The last update date is 2015-12-15.
Christine A Petruzzo's current location address is 110 Liberty Street, Brockton, Massachusetts. You can contact this provider via phone number 5088940400 and fax number 5088940523. The mailing address for Christine A Petruzzo is 110 Liberty Street, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christine A Petruzzo |
|---|---|
| Address | 110 Liberty Street, Brockton, Massachusetts |
| Phone Number | 5088940400 |
| Fax Number | 5088940523 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1831174440 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
| Address | 110 Liberty Street |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23015521 |
| Phone Number | 5088940400 |
| Fax Number | 5088940523 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 211695 |
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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 |
|---|---|---|---|
| 324451 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Christine A Petruzzo by the Centers for Medicare & Medicaid Services?
The Christine A Petruzzo has been issued the NPI (National Provider Identifier) 1831174440. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Christine A Petruzzo's physical address?
The Christine A Petruzzo is physically located at 110 Liberty Street, in the city of Brockton, MA, with the postal code 23015521.
What is the Christine A Petruzzo's area of specialization and corresponding taxonomy classification?
The Christine A Petruzzo's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1831174440 to Christine A Petruzzo?
The Christine A Petruzzo received its 1831174440 assignment from the Centers for Medicare & Medicaid Services on 2005-12-07.
As of what date was the information pertaining to Christine A Petruzzo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Christine A Petruzzo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-15.
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