Metivier, Carolyn Marie

Metivier, Carolyn Marie is an sole proprietor health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pain Management, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Metivier, Carolyn Marie can be contacted via phone (617) 732-5500.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Phone: (617) 732-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X 197766 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 197766 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN197766 Massachusetts

Profile Details

NPI number 1669613337
LBN Legal business name Metivier, Carolyn Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2009
Last updated Sep 25th, 2023 - about 3 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 1669613337 NPPES
Massachusetts MEDICAID 110084098A

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