Gantz, Victoria H

Gantz, Victoria H is an individual health care provider with primary practice located at 550 Cabot St , Beverly MA 01915-2511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gantz, Victoria H can be contacted via phone (978) 927-1919.

Contact Information

Primary practice address
550 Cabot St Beverly MA 01915-2511
Phone: (978) 927-1919
Fax: (978) 927-6102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 161983 Massachusetts

Profile Details

NPI number 1801982541
LBN Legal business name Gantz, Victoria H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 20th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801982541 NPPES
Massachusetts MEDICAID 0383520

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