Individual
COURTNEY M NASCIMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPH, NP-C, RN,RD
Contact information
Practice address
67 UNION ST, NATICK, MA 01760-7700
(508) 655-0525
Mailing address
67 UNION ST, NATICK, MA 01760-7700
(508) 655-0525
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
2030
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2262989
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
67595
FALLON CUMMUNITY HEALTH P
—
01
—
7776618
AETNA/US HEALTHCARE
—
01
—
AA16846
HARVARD PILGRIM HEALTHCAR
—
01
—
LD0138
BLUE CROSS
—
01
—
MT0710
MEDICARE B
—
Enumeration date
08/19/2006
Last updated
06/27/2013
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