Norris, Carolyn
Norris, Carolyn is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Pediatrics, Worcester MA 01655-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Norris, Carolyn can be contacted via phone (508) 856-4280.Contact Information
Primary practice address
55 Lake Ave N Department Of Pediatrics
Worcester MA 01655-0002
Phone: (508) 856-4280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 131319 | Massachusetts |
Profile Details
| NPI number | 1396706081 |
|---|---|
| LBN Legal business name | Norris, Carolyn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Sep 14th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396706081 | NPPES |
| Massachusetts | MEDICAID | 0374351 |
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