Doctor Name: | MAUREEN ANN OKANE SMALLEY |
NPI Number: | 1386815546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 193622 |
Business Practice Address: | 18 Main St Ste 104 Townsend, MA - 014691300 |
Business Phone Number: | 9785979091 |
Business Fax Number: | 9785979094 |
Mailing Address: | 18 Main St Ste 104, TOWNSEND |
State: | MA |
Postal Code: | 014691300 |
Phone Number: | 9785979091 |
Fax Number: | 9785979094 |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 02/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 193622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |