St Croix, Linda M
St Croix, Linda M is an individual health care provider with primary practice located at 111 Grossman Dr , Braintree MA 02184-4997. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. St Croix, Linda M can be contacted via phone (617) 559-8053.Contact Information
Primary practice address
111 Grossman Dr
Braintree MA 02184-4997
Phone: (617) 559-8053
Fax: (617) 421-3487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 133975 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 133975 | Massachusetts |
Profile Details
| NPI number | 1992766554 |
|---|---|
| LBN Legal business name | St Croix, Linda M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992766554 | NPPES |
| Massachusetts | Other | NP2396 | BLUE CROSS |
| Massachusetts | MEDICAID | 0392090 | BLUE CROSS |
| Massachusetts | Other | 39181 | BLUE CROSS |
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