Flynn, Constance Mary

Flynn, Constance Mary is an individual health care provider with primary practice located at 165 Tor Ct , Pittsfield MA 01201-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Flynn, Constance Mary can be contacted via phone (413) 447-2862.

Contact Information

Primary practice address
165 Tor Ct Pittsfield MA 01201-3001
Fax: (413) 447-2869
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 131866 Massachusetts

Profile Details

NPI number 1508120445
LBN Legal business name Flynn, Constance Mary
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Jan 17th, 2013 - about 12 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 1508120445 NPPES
Massachusetts Other 002905201 MEDICARE B

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