Individual
GRACE S TRIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
73 PRINCETON ST, SUITE 203, NORTH CHELMSFORD, MA 01863-1558
(978) 256-6579
(978) 256-1943
Mailing address
73 PRINCETON ST, SUITE 203, NORTH CHELMSFORD, MA 01863-1558
(978) 256-6579
(978) 256-1943
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
119209
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022320
NHP
MA
01
—
006475
TRICARE
MA
01
—
043476807-08
PACIFICARE
MA
01
—
1008984
CIGNA
MA
01
—
1388318000
MAGELLAN
MA
01
—
162568
MHN
MA
05
—
1851713
—
MA
01
—
4007530Y0MA02
BCBSNH
NH
01
—
4339587
AETNA
MA
01
—
758727
TUFTS
MA
01
—
83-01340
EVERCARE
MA
01
—
890000446
RAILROAD MEDICARE
MA
01
—
PN0057
BCBSMA
MA
Enumeration date
11/15/2005
Last updated
05/18/2015
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