Individual
NY MY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
206 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 973-3000
(508) 973-3119
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN02414
RI
363L00000X
Nurse Practitioner
Primary
RN2329798
MA
Other
Enumeration date
11/10/2020
Last updated
09/08/2024
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