Organization
MOON SPOT WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MECHELLE PLASSE APRN, PHD (ADVANCED PRACTICE NURSE PRACTITIONE)
(508) 735-9406
Entity
Organization
Contact information
Practice address
36 N BEDFORD ST STE 3, EAST BRIDGEWATER, MA 02333-1186
(508) 735-9406
(774) 568-5605
Mailing address
1442 OLD PLEASANT ST, BRIDGEWATER, MA 02324-2139
(508) 735-9406
(774) 568-5605
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
176838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176838
APRN LICENSE
MA
05
—
1854984
—
MA
01
—
PN0618
BLUE CROSS
MA
Enumeration date
05/25/2018
Last updated
05/25/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us