Individual
ALICE J. VAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.C.
Contact information
Practice address
242 GREEN ST, DEPT. OF SURGERY, GARDNER, MA 01440-1336
(978) 630-6267
(978) 630-6596
Mailing address
242 GREEN ST, DEPT. OF SURGERY, GARDNER, MA 01440-1336
(978) 630-6267
(978) 630-6596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
165352
MA
364SE0003X
Emergency Clinical Nurse Specialist
165352
MA
Other
Enumeration date
09/26/2005
Last updated
01/21/2010
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