Healthcare Provider Details

I. General information

NPI: 1265563084
Provider Name (Legal Business Name): MARIA C NAPLES RNCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ENON ST STE 2
BEVERLY MA
01915-1164
US

IV. Provider business mailing address

2 ENON ST STE 2
BEVERLY MA
01915-1164
US

V. Phone/Fax

Practice location:
  • Phone: 978-921-2611
  • Fax:
Mailing address:
  • Phone: 978-921-2611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN93173
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: