Individual
MRS. CATHY MAXI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 WATER ST, FITCHBURG, MA 01420-5478
(978) 878-8300
(978) 627-8349
Mailing address
130 WATER ST, FITCHBURG, MA 01420-5747
(978) 878-8100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2290081
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2290081
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
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NEXTIVAFAX.COM
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MA
Enumeration date
12/03/2019
Last updated
09/19/2024
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