Dodge, Carrie Ann

Dodge, Carrie Ann is an individual health care provider with primary practice located at 41 Mall Road , Burlington MA 01805-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dodge, Carrie Ann can be contacted via phone (781) 744-8766.

Contact Information

Primary practice address
41 Mall Road Burlington MA 01805-0001
Phone: (781) 744-8766
Fax: (781) 744-5848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 194234 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN194234 Massachusetts

Profile Details

NPI number 1851441182
LBN Legal business name Dodge, Carrie Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jan 20th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851441182 NPPES
Massachusetts MEDICAID 0328162
Massachusetts MEDICAID 110014326A

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