Individual
GAIL A BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-1000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
146121
MA
363LA2200X
Adult Health Nurse Practitioner
146121
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369870
—
MA
01
—
39162
HARVARD PILGRIM
MA
01
—
NP1807
BLUE CROSS
MA
Enumeration date
03/17/2006
Last updated
07/16/2014
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