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Individual

MS. RITA K HERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP, CNS

Contact information

Practice address
4 UPLAND RD, NEWBURYPORT, MA 01950-1926
(978) 376-0508
Mailing address
4 UPLAND RD, NEWBURYPORT, MA 01950-1926
(978) 376-0508

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
055656-23-08
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
141751
MA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
141751
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN0860
BCBS
MA
Enumeration date
10/02/2006
Last updated
04/03/2013
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