Charise, Tricia L

Charise, Tricia L is an individual health care provider with primary practice located at 840 Harrison Ave Menino Building, Boston MA 02118-2905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Charise, Tricia L can be contacted via phone (617) 638-8605.

Contact Information

Primary practice address
840 Harrison Ave Menino Building Boston MA 02118-2905
Phone: (617) 638-8605
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN238703 Massachusetts

Profile Details

NPI number 1417972027
LBN Legal business name Charise, Tricia L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 28th, 2017 - about 7 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 1417972027 NPPES
Massachusetts MEDICAID 110024710A

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