Individual
MRS. THERESA NAOMI MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE PRAC
Contact information
Practice address
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN03228
RI
363LF0000X
Family Nurse Practitioner
RN284223
MA
363LF0000X
Family Nurse Practitioner
SP010165
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110171739A
—
MA
01
—
1583237
GATEWAY-WMG
PA
01
—
2099584
HIGHMARK BLUE SHIELD
PA
01
—
951695
CAREFIRST MD BCBS
MD
Enumeration date
03/02/2009
Last updated
02/08/2023
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