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NPI Code Detail

MEDICARE: FIONA DEBRA JOHANSMEYER PA

MEDICARE:   FIONA DEBRA JOHANSMEYER  PA
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
1363AM0700XMedical Physician AssistantPA6181MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA6181OTHERMALICENSE NUMBER

General Provider Information

NPI Number : 1871012468
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIONA DEBRA JOHANSMEYER PA
Provider Business Mailing Address
First Line : 103 PROVIDENCE HWY
Second Line :
City : EAST WALPOLE
State : MA
Zip : 02032-1512
Country : US
Telephone Number : 781-255-0500
Fax Number :
Provider Business Practice Location Address
First Line : 103 PROVIDENCE HWY
Second Line :
City : EAST WALPOLE
State : MA
Zip : 02032-1512
Country : US
Telephone Number : 781-255-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2017
Last Update Date : 07/12/2022

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Directions to “ FIONA DEBRA JOHANSMEYER PA” Practice Location

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