Glavine, Carissa

Glavine, Carissa is an individual health care provider with primary practice located at 74 Loomis St , Bedford MA 01730-2248. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Glavine, Carissa can be contacted via phone (781) 674-2900.

Contact Information

Primary practice address
74 Loomis St Bedford MA 01730-2248
Phone: (781) 674-2900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 232662 Massachusetts

Profile Details

NPI number 1871779587
LBN Legal business name Glavine, Carissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2008
Last updated Jan 11th, 2008 - about 18 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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