Healthcare Provider Details

I. General information

NPI: 1902990450
Provider Name (Legal Business Name): JUDITH MIRIAM POST R.N.,C.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUDITH MIRIAM KERBLE R.N.,C.S.

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 QUINCY STREET
BROCKTON MA
02302-2926
US

IV. Provider business mailing address

11 NORTH HILL AVENUE
NEEDHAM MA
02492-1221
US

V. Phone/Fax

Practice location:
  • Phone: 508-584-2291
  • Fax: 508-584-3480
Mailing address:
  • Phone: 781-449-2620
  • Fax: 781-449-2620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number84307
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: