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Individual

EILEEN H CARLSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
57 PROSPECT ST, NANTUCKET PHYSICIANS CARE, NANTUCKET, MA 02554-2799
(508) 325-9981
(508) 825-8133
Mailing address
57 PROSPECT ST, NANTUCKET PHYSICIANS CARE, NANTUCKET, MA 02554-2799
(508) 325-9981
(508) 825-8133

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F333575-1
NY
363LF0000X
Family Nurse Practitioner
Primary
RN267156
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02472902
NY
Enumeration date
12/14/2006
Last updated
04/16/2013
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