Active NPIIndividual provider

Emily C Macintyre, CPNP

Nurse Practitioner, Pediatrics in Revere, Massachusetts

NPI Number1053771667
Practice location
300 Ocean Ave, Revere, MA 02151-3675
Fax
—
Last updated
February 25, 2016

Emily Caruso Macintyre is a Nurse Practitioner, Pediatrics based in Revere, MA. Emily Caruso Macintyre practices in Revere, MA and has the professional credentials of CPNP. The NPI Number for Emily Caruso Macintyre is 1053771667 and holds a License No. 230707 (MA). The current practice location address for Emily Caruso Macintyre is 300 Ocean Ave, Revere, MA 02151-3675 and can be reached out via phone at 781-485-6024.

Provider Profile Details

NPI Number
1053771667
Provider Name
Emily Caruso Macintyre
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave, Revere, MA 02151-3675
Phone Number
781-485-6024
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
February 25, 2016
Last Update Date
February 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Ocean Ave
Revere, MA 02151-3675
City
Revere
Zip
02151-3675
Phone Number
781-485-6024
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
300 Ocean Ave
Revere, MA 02151-3675
City
Revere
State
MA
Zip
02151-3675
Phone Number
781-485-6024

License Information

License Number
230707
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Emily C Macintyre, CPNP?

The NPI number of Emily C Macintyre, CPNP is 1053771667. It was assigned on February 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Emily C Macintyre, CPNP?

Emily C Macintyre, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 230707.

Where does Emily C Macintyre, CPNP practice?

The practice location is 300 Ocean Ave, Revere, MA 02151-3675. The office can be reached at 781-485-6024 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053771667 directly on the NPPES registry website.

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