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NPI Code Detail

MEDICARE: CHARISSA WAYS R.N., B.S.N.

MEDICARE: CHARISSA WAYS R.N., B.S.N.
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
1163W00000XRegistered NurseRN2278534MA

General Provider Information

NPI Number : 1700131778
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARISSA WAYS R.N., B.S.N.
Provider Business Mailing Address
First Line : 28 PIERCE AVE
Second Line :
City : BEVERLY
State : MA
Zip : 01915-3522
Country : US
Telephone Number : 978-810-0627
Fax Number :
Provider Business Practice Location Address
First Line : 28 PIERCE AVE
Second Line :
City : BEVERLY
State : MA
Zip : 01915-3522
Country : US
Telephone Number : 978-810-0627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2012
Last Update Date : 07/16/2012

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Directions to “ CHARISSA WAYS R.N., B.S.N.” Practice Location

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