| Doctor Name: | ALICE J. VAINE |
| NPI Number: | 1164418059 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P.C. |
| License Number: | 165352 |
| Business Practice Address: | 242 Green St Dept. Of Surgery Gardner, MA - 014401336 |
| Business Phone Number: | 9786306267 |
| Business Fax Number: | 9786306596 |
| Mailing Address: | 242 Green St, Dept. Of Surgery GARDNER |
| State: | MA |
| Postal Code: | 014401336 |
| Phone Number: | 9786306267 |
| Fax Number: | 9786306596 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 01/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SE0003X |
| License Number: | 165352 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Emergency |
| Taxonomy Definition: | |