| NPI | 1316627045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL E PAQUETTE RESENDES Np 508-895-9486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-03-28 |