Active NPIIndividual provider

Mr. Justin Eusebio, MSN, RN, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts

NPI Number1073166112
Practice location
19 Tacoma St, Worcester, MA 01605-3516
Fax
—
Last updated
January 8, 2020

Justin Eusebio is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Justin Eusebio practices in Worcester, MA and has the professional credentials of MSN, RN, PMHNP-BC. The NPI Number for Justin Eusebio is 1073166112 and holds a License No. RN2320812 (MA). The current practice location address for Justin Eusebio is 19 Tacoma St, Worcester, MA 01605-3516 and can be reached out via phone at 508-595-1115.

Provider Profile Details

NPI Number
1073166112
Provider Name
Justin Eusebio
Credential
MSN, RN, PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
19 Tacoma St, Worcester, MA 01605-3516
Phone Number
508-595-1115
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2019
Last Update Date
January 8, 2020
Certification Date
January 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Tacoma St
Worcester, MA 01605-3516
Zip
01605-3516
Phone Number
508-595-1115
Worcester, MA 01605Get directions →

Provider Business Mailing Address Details

Address
19 Tacoma St
Worcester, MA 01605-3516
City
Worcester
State
MA
Zip
01605-3516
Phone Number
508-852-1805

License Information

License Number (1)
RN2320812
License State (1)
MA
Taxonomy (1)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (2)
RN2320812
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Mr. Justin Eusebio, MSN, RN, PMHNP-BC?

The NPI number of Mr. Justin Eusebio, MSN, RN, PMHNP-BC is 1073166112. It was assigned on July 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Justin Eusebio, MSN, RN, PMHNP-BC?

Mr. Justin Eusebio, MSN, RN, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2320812.

Where does Mr. Justin Eusebio, MSN, RN, PMHNP-BC practice?

The practice location is 19 Tacoma St, Worcester, MA 01605-3516. The office can be reached at 508-595-1115 (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 1073166112 directly on the NPPES registry website.

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