Decene, Gina

Decene, Gina is an individual health care provider with primary practice located at 123 Summer St , Worcester MA 01608-1216. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Decene, Gina can be contacted via phone (978) 407-0553.

Contact Information

Primary practice address
123 Summer St Worcester MA 01608-1216
Phone: (978) 407-0553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN274732 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN274732 Massachusetts

Profile Details

NPI number 1134451248
LBN Legal business name Decene, Gina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2010
Last updated Oct 24th, 2014 - about 11 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 1134451248 NPPES
Massachusetts Other 1301071 GROUP MEDICAID NUMBER

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