Cacace, Myra F

Cacace, Myra F is an individual health care provider with primary practice located at 5 Neponset St , Worcester MA 01606-2714. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Cacace, Myra F can be contacted via phone (508) 852-6175.

Contact Information

Primary practice address
5 Neponset St Worcester MA 01606-2714
Phone: (508) 852-6175
Fax: (508) 595-2123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X NP144577 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NP144577 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP144577 Massachusetts

Profile Details

NPI number 1518956010
LBN Legal business name Cacace, Myra F
Credentials GNP/ADM-BC, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518956010 NPPES
Massachusetts MEDICAID 110015470A
Massachusetts Other BCNP0559
Massachusetts Other 49852

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