Lane, Madeline Fennon

Lane, Madeline Fennon is an individual health care provider with primary practice located at 10 N Main St , Charlton MA 01507-1590. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lane, Madeline Fennon can be contacted via phone (508) 248-3015.

Contact Information

Primary practice address
10 N Main St Charlton MA 01507-1590
Phone: (508) 248-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2347010 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2347010 Massachusetts

Profile Details

NPI number 1437756335
LBN Legal business name Lane, Madeline Fennon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2020
Last updated Jun 20th, 2023 - about last year

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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