Individual
GAIL BEAVEN WANGERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD RN CS
Contact information
Practice address
599 CANAL ST, 5TH FLOOR EAST, LAWRENCE, MA 01840
(978) 682-8881
(978) 682-8872
Mailing address
599 CANAL ST, 5TH FLOOR EAST, LAWRENCE, MA 01840
(978) 682-8881
(978) 682-8872
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
88312
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000037939
HEALTH NET
—
01
—
002253
HARVARD
—
01
—
1034440
NHP
—
05
—
1858088
—
MA
05
—
1898434
—
MA
01
—
PN0147
BLUE CROSS
—
Enumeration date
04/04/2007
Last updated
07/08/2007
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