Healthcare Provider Details

I. General information

NPI: 1912839598
Provider Name (Legal Business Name): BETSY MINERVA MOREL CPT (NHA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 CANAL ST
LAWRENCE MA
01840-1244
US

IV. Provider business mailing address

599 CANAL STREET 4 FLOOR EAST SUITE #9
LAWRENCE MA
01840
US

V. Phone/Fax

Practice location:
  • Phone: 978-305-1905
  • Fax: 978-258-5946
Mailing address:
  • Phone: 978-305-1905
  • Fax: 978-258-5946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberC3R8L6P6
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: