Dickerson, Anissa Elizabeth

Dickerson, Anissa Elizabeth is an individual health care provider with primary practice located at 850 Harrison Ave Yacc 5, Boston MA 02118-4001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dickerson, Anissa Elizabeth can be contacted via phone (617) 414-2080.

Contact Information

Primary practice address
850 Harrison Ave Yacc 5 Boston MA 02118-4001
Phone: (617) 414-2080
Fax: (617) 414-2090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2278970 Massachusetts

Profile Details

NPI number 1821351404
LBN Legal business name Dickerson, Anissa Elizabeth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated Nov 18th, 2016 - about 9 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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