Individual
MRS. BETH M MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.C., M.S., N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
143411
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98107
FALLEN COMMUNITY HEALTH C
MA
01
—
MM0463264I
STATE CONTROLLED SUBSTANC
MA
01
—
NP2484
BC/BS OF MA
MA
Enumeration date
08/22/2006
Last updated
03/07/2023
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