Organization
NURSE'S SQUARE PLLC
Active
Organization
NURSE'S SQUARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA MARINE FERNANDES MSN, FNP-BC (OWNER/CEO)
(508) 300-7066
Entity
Organization
Contact information
Practice address
62 SUMMIT RD, HOLBROOK, MA 02343-2138
(508) 300-7066
(508) 300-7066
Mailing address
62 SUMMIT RD, HOLBROOK, MA 02343-2138
(508) 300-7066
(508) 300-7066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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