Clancy, Carol Ann

Clancy, Carol Ann is an individual health care provider with primary practice located at 720 Harrison Ave Fl 7 , Boston MA 02118-2371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, which is considered as her primary health care specialty. Clancy, Carol Ann can be contacted via phone (617) 414-8261.

Contact Information

Primary practice address
720 Harrison Ave Fl 7 Boston MA 02118-2371
Phone: (617) 414-8261
Fax: (617) 638-8406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 181036 Massachusetts

Profile Details

NPI number 1649477373
LBN Legal business name Clancy, Carol Ann
Credentials RNC MSN ANP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Aug 7th, 2019 - 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 1649477373 NPPES
Massachusetts MEDICAID 0327565

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