Organization
CHANGING TIDES NATURAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY NEYHART (OWNER)
(774) 377-9308
Entity
Organization
Contact information
Practice address
76 COUNTY RD, MATTAPOISETT, MA 02739-1650
(774) 377-9308
Mailing address
PO BOX 939, ONSET, MA 02558-0939
(774) 377-9308
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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