Basic Information
| Provider Information | |||||||||
| NPI: | 1063712503 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VISITING PRACTITIONERS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 DANIELS ST | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020381103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5085303140 | ||||||||
| FaxNumber: | 5085303142 | ||||||||
| Practice Location | |||||||||
| Address1: | 9 E CENTRAL ST STE 2 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020381484 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5085303140 | ||||||||
| FaxNumber: | 5085303142 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2010 | ||||||||
| LastUpdateDate: | 05/15/2019 | ||||||||
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| AuthorizedOfficialLastName: | O'BRIEN | ||||||||
| AuthorizedOfficialFirstName: | CAROLYN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6176869595 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | NP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 190716 | MA | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.