| NPI | 1942413265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI WARD Owner 508-737-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 173002) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-02-27 |