Doctor Name: | VANESSA J. MASSE |
NPI Number: | 1548522139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | F0811379 |
Business Practice Address: | 200 Washington St Boxford, MA - 019211017 |
Business Phone Number: | 7818669879 |
Business Fax Number: | |
Mailing Address: | 51 Winthrop St Apt 3, EVERETT |
State: | MA |
Postal Code: | 021492607 |
Phone Number: | 6179701204 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F0811379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |