in Hyannis - Nurse Practitioner

- NPI 1427000983

is a Nurse Practitioner in Hyannis, Massachusetts. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1427000983. The last update date is .

's current location address is 25 Communications Way, Hyannis, Massachusetts. You can contact this provider via phone number 5089578664 and fax number 5089578677. The mailing address for is 25 Communications Way, Hyannis, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 25 Communications Way, Hyannis, Massachusetts
Phone Number 5089578664
Fax Number 5089578677
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1427000983
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 25 Communications Way
City Hyannis
State Massachusetts (MA)
Post Code 26011866
Phone Number 5089578664
Fax Number 5089578677

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 183552
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NP0269 MA BLUE SHIELD

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