St Croix, Linda M

St Croix, Linda M is an individual health care provider with primary practice located at 111 Grossman Dr , Braintree MA 02184-4997. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. St Croix, Linda M can be contacted via phone (617) 559-8053.

Contact Information

Primary practice address
111 Grossman Dr Braintree MA 02184-4997
Phone: (617) 559-8053
Fax: (617) 421-3487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 133975 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 133975 Massachusetts

Profile Details

NPI number 1992766554
LBN Legal business name St Croix, Linda M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
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 1992766554 NPPES
Massachusetts Other NP2396 BLUE CROSS
Massachusetts MEDICAID 0392090 BLUE CROSS
Massachusetts Other 39181 BLUE CROSS

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