MEDICARE: NANCY S. PASKO NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	135803	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NP2273	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1174500136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY S. PASKO NP

Provider Business Mailing Address
First Line	:	56 NEW DRIFTWAY
Second Line	:
City	:	SCITUATE
State	:	MA
Zip	:	02066-4533
Country	:	US
Telephone Number	:	781-545-7243
Fax Number	:	781-210-2854

Provider Business Practice Location Address
First Line	:	56 NEW DRIFTWAY
Second Line	:
City	:	SCITUATE
State	:	MA
Zip	:	02066-4533
Country	:	US
Telephone Number	:	781-545-7243
Fax Number	:	781-210-2854

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	02/22/2008

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