Healthcare Provider Details

I. General information

NPI: 1336399435
Provider Name (Legal Business Name): ELIZABETH R MCLAUGHLIN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 09/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 CEDAR ST
HYANNIS MA
02601-3009
US

IV. Provider business mailing address

65 CEDAR ST
HYANNIS MA
02601-3009
US

V. Phone/Fax

Practice location:
  • Phone: 508-790-0611
  • Fax: 508-790-0589
Mailing address:
  • Phone: 508-790-0611
  • Fax: 508-790-0589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number239121
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number239121
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: