Doctor Name: | MS. DENISE EGAN |
NPI Number: | 1184608358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC |
License Number: | 177104 |
Business Practice Address: | 353 Washington St Norwell, MA - 020611903 |
Business Phone Number: | 7816591800 |
Business Fax Number: | |
Mailing Address: | 39 Farnum Rd, Po Box 1415 PEMBROKE |
State: | MA |
Postal Code: | 023593602 |
Phone Number: | 7812948970 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2005 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0600X |
License Number: | 177104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |