Healthcare Provider Details

I. General information

NPI: 1841462124
Provider Name (Legal Business Name): JOAN M CUTTING NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SALISBURY ST ASSUMPTION COLLEGE STUDENT HEALTH SERVICES
WORCESTER MA
01609-1265
US

IV. Provider business mailing address

500 SALISBURY ST ASSUMPTION COLLEGE STUDENT HEALTH SERVICES
WORCESTER MA
01609-1296
US

V. Phone/Fax

Practice location:
  • Phone: 508-767-7329
  • Fax: 508-767-7102
Mailing address:
  • Phone: 508-767-7329
  • Fax: 508-767-7102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number120290
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: