Individual
MRS. LORETTA E CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
100 CUMMINGS CTR, SUITE 307L, BEVERLY, MA 01915
(978) 922-3301
(978) 927-8556
Mailing address
100 CUMMINGS CTR, SUITE 307L, BEVERLY, MA 01915
(978) 922-3301
(978) 927-8556
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
138190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN0128
BCBS
MA
01
—
PN0128
BCBS
NH
Enumeration date
07/12/2006
Last updated
07/08/2007
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