O'Leary, Carol Anne

O'Leary, Carol Anne is an individual health care provider with primary practice located at 175 N Beacon St , Watertown MA 02472-2751. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. O'Leary, Carol Anne can be contacted via phone (617) 972-7290.

Contact Information

Primary practice address
175 N Beacon St Watertown MA 02472-2751
Fax: (617) 972-7345
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 178285 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 178285 Massachusetts

Profile Details

NPI number 1225126832
LBN Legal business name O'Leary, Carol Anne
Credentials APRN, PNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 12th, 2015 - about 11 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 1225126832 NPPES
Massachusetts MEDICAID 0713589

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