Theodate, Joanne

Theodate, Joanne is an individual health care provider with primary practice located at 759 Granite St , Braintree MA 02184-5328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Theodate, Joanne can be contacted via phone (000) 000-0001.

Contact Information

Primary practice address
759 Granite St Braintree MA 02184-5328
Phone: (000) 000-0001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2283583 Massachusetts

Profile Details

NPI number 1831571561
LBN Legal business name Theodate, Joanne
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2015
Last updated Oct 28th, 2015 - about 9 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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