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Individual

ELLEN CARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5981
Mailing address
8 OAK PARK DR, BEDFORD, MA 01730-1414
(781) 280-1683

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
RN37716
MA
363L00000X
Nurse Practitioner
Primary
137716
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP3413
BLUE SHIELD
MA
Enumeration date
05/11/2006
Last updated
05/01/2024
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