Mcgovern, Maura A
Mcgovern, Maura A is an individual health care provider with primary practice located at 27 Centennial Dr , Peabody MA 01960-7901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcgovern, Maura A can be contacted via phone (978) 531-7677.Contact Information
Primary practice address
27 Centennial Dr
Peabody MA 01960-7901
Phone: (978) 531-7677
Fax: (978) 531-7690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 17331 | Massachusetts |
Profile Details
| NPI number | 1073515755 |
|---|---|
| LBN Legal business name | Mcgovern, Maura A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Sep 22nd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073515755 | NPPES |
| Massachusetts | MEDICAID | 0702188 | |
| Massachusetts | Other | NP0891 |
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