Individual
MS. ANNE G FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
175218
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
(AA)25716
HARVARD PILGRIM
—
01
—
0017467
CIGNA
—
01
—
043202198
GROUP PRACTICE ENROLLMENT
—
05
—
0702013
—
MA
01
—
175218
CONNECTICARE OF MA
—
01
—
81158
HEALTHY START
—
Enumeration date
07/21/2005
Last updated
12/03/2019
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