MARY LOU ETHEREDGE PCNS-BC NPI 1235778986

NPI Information

NPI: 1235778986
Provider Name: MARY LOU ETHEREDGE, PCNS-BC
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
5 OAK HILL RD
NATICK, MA
ZIP 01760
Phone: (617) 877-0371
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Mary Lou Etheredge, PCNS-BC is a psychiatric/mental health and adult registered nurse in Natick, MA. Mary Lou Etheredge, PCNS-BC NPI is 1235778986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 OAK HILL RD
NATICK, MA
ZIP 01760-009
Phone: (617) 877-0371

The enumeration date for this NPI number is 12/29/2019 and was last updated on 12/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN111702	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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