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THE CENTER FOR AESTHETIC MEDICINE LLC D.B.A. PROVIDER HOUSE CALLS NPI 1396246831


NPI Information

NPI: 1396246831
Provider Name: THE CENTER FOR AESTHETIC MEDICINE , LLC , D.B.A. PROVIDER HOUSE CALLS

Doing Business As: PROVIDER HOUSE CALLS, LLC

Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
20 HAMPTON AVE STE 150
NORTHAMPTON, MA
ZIP 01060
Phone: (413) 527-7850
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THE CENTER FOR AESTHETIC MEDICINE , LLC , D.B.A. PROVIDER HOUSE CALLS is an adult health nurse practitioner in Northampton, MA. THE CENTER FOR AESTHETIC MEDICINE , LLC , D.B.A. PROVIDER HOUSE CALLS NPI is 1396246831. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Provider House Calls, Llc.

The provider's business location address is:

20 HAMPTON AVE STE 150
NORTHAMPTON, MA
ZIP 01060
Phone: (413) 527-7850

The provider's authorized official is Tricia Lynn Carey .
The authorized official title is Owner and has the following contact phone number (413) 527-7850.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 7/5/2018.


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
1363LA2200XNurse PractitionerAdult HealthRN264722MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110078806AMEDICAIDMASSACHUSETTS

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: 5/5/2024

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