Unknown Individual – Pediatric Nurse Practitioner, NPI 1780910513
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
179, Quincy Street, Brockton, Plymouth County, Massachusetts, 02302, United States
BROCKTON, MA 023022966
Phone: (508) 427-7700
Type: Location
1020, Liberty Street, Braintree Woods, Braintree, Norfolk County, Massachusetts, 02184, United States
BRAINTREE, MA 021847302
Phone: (617) 276-5520
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02302)
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