person
Ms. Dale Karen Defort, RNCS
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Salem, Massachusetts
NPI 1164406997

Dale Karen Defort is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Salem, MA and is specialized in Psychiatric/Mental Health, Adult. Dale Karen Defort practices in Salem, MA and has the professional credentials of RNCS. The NPI Number for Dale Karen Defort is 1164406997 and holds a License No. 110410 (Massachusetts).

The current practice location address for Dale Karen Defort is 30 Federal St, Salem, MA and can be reached out via phone at 978-740-9590 and via fax at 978-744-5486.

Location: 30 Federal St, Salem, MA, 01970
person
Provider Profile Details
NPI Number
1164406997
Provider Name
Dale Karen Defort
Credential
RNCS
Provider Entity Type
Individual
Gender
Female
Address
30 Federal St, Salem, MA, 01970
Phone Number
978-740-9590
Fax Number
978-744-5486
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1898493 05 MA
institution
Provider Business Practice Location Address Details
Address
30 Federal St
City
State
Zip
01970
Phone Number
978-740-9590
Fax Number
978-744-5486
person
Provider Business Mailing Address Details
Address
30 Federal St
City
State
Zip
01970
Phone Number
978-740-9590
Fax Number
978-744-5486
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
110410 (Massachusetts)
Definition
Definition to come...
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