Individual
MRS. JOAN M OATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-3584
Mailing address
6 BIRCHWOOD RD, WILMINGTON, MA 01887-1903
(978) 658-8275
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
175461
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0705225
MASS HEALTH
MA
01
—
NP5131
BCBS
MA
Enumeration date
01/11/2007
Last updated
07/08/2007
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