Healthcare Provider Details

I. General information

NPI: 1760803753
Provider Name (Legal Business Name): REBECCA CURCI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA SMITH FNP

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 SOUTHBRIDGE ST
AUBURN MA
01501-1332
US

IV. Provider business mailing address

826 SOUTHBRIDGE ST
AUBURN MA
01501-1332
US

V. Phone/Fax

Practice location:
  • Phone: 508-832-0173
  • Fax:
Mailing address:
  • Phone: 508-832-0173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN2275337
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2275337
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: