Organization
BLUE HERON PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE A MASSE FNP (OWNER)
(857) 939-0187
Entity
Organization
Contact information
Practice address
28 RIVERSIDE DR STE 150, PEMBROKE, MA 02359-4904
(857) 939-0187
Mailing address
28 RIVERSIDE CIR STE 150, MARSHFIELD, MA 02050-5816
(857) 939-0187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
09/20/2024
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