Individual
JUDY E FEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 BRIMBAL AVE, BEVERLY, MA 01915-6009
(978) 490-5151
Mailing address
31 MANSION DR, TOPSFIELD, MA 01983-1109
(978) 887-3847
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
138000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3039749
MASS HEALTH
MA
01
—
AA59547
HARVARD PIGRIM
MA
Enumeration date
09/13/2006
Last updated
11/13/2012
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