Mongiacotti, Carla Lynn

Mongiacotti, Carla Lynn is an individual health care provider with primary practice located at 77 Hastrup Road , Spencer MA 01562. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Mongiacotti, Carla Lynn can be contacted via phone (774) 262-3513.

Contact Information

Primary practice address
77 Hastrup Road Spencer MA 01562
Phone: (774) 262-3513
Fax: (508) 885-5048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 214054 Massachusetts

Profile Details

NPI number 1699890855
LBN Legal business name Mongiacotti, Carla Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 18 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 1699890855 NPPES
Massachusetts Other 0707341 MASS HEALTH

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