Individual
BETH H DOMBROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
200 COPELAND DR, MANSFIELD, MA 02048-1225
(508) 339-4144
Mailing address
200 COPELAND DR, MANSFIELD, MA 02048-1225
(508) 339-4144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284354
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2284354
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S400251735
MEDICARE PTAN
MA
Enumeration date
04/24/2014
Last updated
06/23/2016
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