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NPI Code Detail

MEDICARE: CHARMY PATEL NP

MEDICARE: CHARMY PATEL NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner068603-23NH
2363LF0000XFamily Nurse PractitionerRN2287384MA

General Provider Information

NPI Number : 1013451921
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARMY PATEL NP
Provider Business Mailing Address
First Line : 9 LOON HILL RD STE 301
Second Line :
City : DRACUT
State : MA
Zip : 01826-4365
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9 LOON HILL RD STE 301
Second Line :
City : DRACUT
State : MA
Zip : 01826-4365
Country : US
Telephone Number : 978-323-0360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2016
Last Update Date : 05/25/2022

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Directions to “ CHARMY PATEL NP” Practice Location

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