Healthcare Provider Details

I. General information

NPI: 1285219139
Provider Name (Legal Business Name): EMILY ANN STRITTMATTER RN, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 03/12/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 PRAIRIE AVE
BELLINGHAM MA
02019-1937
US

IV. Provider business mailing address

18 PRAIRIE AVE
BELLINGHAM MA
02019-1937
US

V. Phone/Fax

Practice location:
  • Phone: 774-270-1241
  • Fax:
Mailing address:
  • Phone: 774-270-1241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN2308667
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: