Organization
THE CENTER FOR AESTHETIC MEDICINE , LLC , D.B.A. PROVIDER HOUSE CALLS
Active
Other names
Provider House Calls, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA LYNN CAREY NP (OWNER)
(413) 527-7850
Entity
Organization
Contact information
Practice address
20 HAMPTON AVE STE 150, NORTHAMPTON, MA 01060
(413) 527-7850
Mailing address
20 HAMPTON AVE STE 150, NORTHAMPTON, MA 01060-3804
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN264722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078806A
—
MA
Enumeration date
02/21/2018
Last updated
07/05/2018
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