Healthcare Provider Details

I. General information

NPI: 1356268395
Provider Name (Legal Business Name): PATRICIA NACU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 ENDICOTT ST
DANVERS MA
01923-4814
US

IV. Provider business mailing address

1 OVERBROOK RD
MIDDLETON MA
01949-2316
US

V. Phone/Fax

Practice location:
  • Phone: 781-363-4887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN10011754
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: