Healthcare Provider Details

I. General information

NPI: 1629523485
Provider Name (Legal Business Name): DAYLIN ALTIERY CHAPLIN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAYLIN JANET ALTIERY

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 W BOYLSTON ST
WORCESTER MA
01605-1261
US

IV. Provider business mailing address

44 W BOYLSTON ST
WORCESTER MA
01605-1261
US

V. Phone/Fax

Practice location:
  • Phone: 508-852-0238
  • Fax:
Mailing address:
  • Phone: 508-852-0238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN22627001
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2262701
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: