Individual
CARLINE FABIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
346 ESSEX ST, SWAMPSCOTT, MA 01907-1212
(781) 885-5177
Mailing address
346 ESSEX ST, SWAMPSCOTT, MA 01907-1212
(781) 885-5177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2324757
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229
—
MA
01
—
50258275
DRIVER LICENSE
MA
Enumeration date
07/08/2022
Last updated
07/08/2022
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