Orencole, Mary P

Orencole, Mary P is an individual health care provider with primary practice located at 55 Fruit Street Grb 109 Mgh Cardiac Unit Associates, Boston MA 02114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Orencole, Mary P can be contacted via phone (617) 724-7739.

Contact Information

Primary practice address
55 Fruit Street Grb 109 Mgh Cardiac Unit Associates Boston MA 02114
Phone: (617) 724-7739
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 155135 Massachusetts

Profile Details

NPI number 1912903725
LBN Legal business name Orencole, Mary P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1912903725 NPPES
Massachusetts Other NP4732 BLUE CROSS BLUE SHIELD

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