Doctor Name: | CAROL REICH |
NPI Number: | 1366854481 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC, CPNP |
License Number: | RN2271151 |
Business Practice Address: | 55 Hospital Dr Winchendon, MA - 014751820 |
Business Phone Number: | 9782972311 |
Business Fax Number: | |
Mailing Address: | 55 Hospital Dr, WINCHENDON |
State: | MA |
Postal Code: | 014751820 |
Phone Number: | 9782972311 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2014 |
NPI Last Update Date: | 05/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN2271151 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |