Healthcare Provider Details

I. General information

NPI: 1316863905
Provider Name (Legal Business Name): ISABELLA CARLOZZI DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PEARL ST STE 2100
BROCKTON MA
02301-2868
US

IV. Provider business mailing address

5205 WASHINGTON ST
BOSTON MA
02132-6359
US

V. Phone/Fax

Practice location:
  • Phone: 508-897-6040
  • Fax: 508-897-6045
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN10010638
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: