MEDICARE: MS. CYNTHIA J MCGREEVY PNP

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
1	163W00000X	Registered Nurse	143441	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	NP1691	OTHER	MA	BCBS

General Provider Information

NPI Number	:	1962493320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA J MCGREEVY PNP

Provider Business Mailing Address
First Line	:	51 MILL ST
Second Line	:	BUILDING E #17
City	:	HANOVER
State	:	MA
Zip	:	02339-1641
Country	:	US
Telephone Number	:	781-826-2131
Fax Number	:	781-826-4513

Provider Business Practice Location Address
First Line	:	51 MILL ST
Second Line	:	BUILDING E #17
City	:	HANOVER
State	:	MA
Zip	:	02339-1641
Country	:	US
Telephone Number	:	781-826-2131
Fax Number	:	781-826-4513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	07/08/2007

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