Forde, Andrea M

Forde, Andrea M is an individual health care provider with primary practice located at 485 Arsenal St , Watertown MA 02472-5091. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Forde, Andrea M can be contacted via phone (617) 972-5100.

Contact Information

Primary practice address
485 Arsenal St Watertown MA 02472-5091
Phone: (617) 972-5100
Fax: (617) 972-5439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 235173 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 235173 Massachusetts

Profile Details

NPI number 1760451025
LBN Legal business name Forde, Andrea M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 16th, 2020 - about 4 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 1760451025 NPPES
Massachusetts Other AA34081 HARVARD PILGRIM
Massachusetts Other NP5011 HARVARD PILGRIM
Massachusetts MEDICAID 0703737 HARVARD PILGRIM

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