Healthcare Provider Details

I. General information

NPI: 1821019365
Provider Name (Legal Business Name): ROXANNE EMILY PINTO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PAGE ST ST LUKE'S EMERGENCY ASSOCIATES, PC
NEW BEDFORD MA
02740-3464
US

IV. Provider business mailing address

2 PERKINS RD
MATTAPOISETT MA
02739-2394
US

V. Phone/Fax

Practice location:
  • Phone: 508-961-5184
  • Fax:
Mailing address:
  • Phone: 508-758-3948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number211564
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: