Organization
IHS OF CAPE COD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WARD APRN (OWNER)
(508) 737-5686
Entity
Organization
Contact information
Practice address
75 CEDAR ST, HYANNIS, MA 02601-3009
(508) 737-5686
(508) 790-1922
Mailing address
PO BOX 516, HYANNIS, MA 02601-0516
(508) 737-5686
(508) 790-1922
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
173002
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787551
—
MA
Enumeration date
05/07/2007
Last updated
02/27/2008
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