Doctor Name: | MARY CHEEVERS-MCKENZIE |
NPI Number: | 1043306269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, CS, BC |
License Number: | 143278 |
Business Practice Address: | 40 Mechanic St Foxboro, MA - 020352074 |
Business Phone Number: | 5085438888 |
Business Fax Number: | |
Mailing Address: | 40 Mechanic St, P.o. Box 9135 FOXBORO |
State: | MA |
Postal Code: | 020352074 |
Phone Number: | 5085438888 |
Fax Number: | 5085433692 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 143278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |