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NANCI J HAZE PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-2300
(781) 849-3377
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
196053
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
196053
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039170
HARVARD PILGRIM
MA
01
NP9898
BLUE CROSS
MA
05
NP9898
MA
Enumeration date
02/15/2006
Last updated
02/04/2014
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