Descoteaux, Ann Mary
Descoteaux, Ann Mary is an sole proprietor health care provider with primary practice located at 77 E Merrimack St Suite 15, Lowell MA 01852-1251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Descoteaux, Ann Mary can be contacted via phone (978) 459-3341.Contact Information
Primary practice address
77 E Merrimack St Suite 15
Lowell MA 01852-1251
Phone: (978) 459-3341
Fax: (978) 459-5344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 119233 | Massachusetts |
Profile Details
| NPI number | 1629291083 |
|---|---|
| LBN Legal business name | Descoteaux, Ann Mary |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Sep 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629291083 | NPPES |
| Massachusetts | Other | NP9834 | BCBS |
| Massachusetts | MEDICAID | 0384780 | BCBS |
| Massachusetts | Other | 80842 | BCBS |
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