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NPI Code Detail

MEDICARE: MELISSA KATHRYN CARTER FNP

MEDICARE: MELISSA KATHRYN CARTER FNP
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
1133VN1004XPediatric Nutrition Registered Dietitian2330MA
2363LF0000XFamily Nurse PractitionerRN2269727MA

General Provider Information

NPI Number : 1619067980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA KATHRYN CARTER FNP
Provider Business Mailing Address
First Line : 35 1/2 ESSEX ST
Second Line : UNIT #1
City : CAMBRIDGE
State : MA
Zip : 02139-2647
Country : US
Telephone Number : 617-694-1950
Fax Number :
Provider Business Practice Location Address
First Line : 147 S MAIN ST
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-2446
Country : US
Telephone Number : 978-774-2555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2006
Last Update Date : 12/14/2017

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