Active NPIIndividual provider

Alice J Vaine, NPC

Nurse Practitioner, Family in Gardner, Massachusetts

NPI Number1164418059
Practice location
242 Green St, Dept. Of Surgery, Gardner, MA 01440-1336
Fax
978-630-6596
Last updated
January 21, 2010

Alice J. Vaine is a Nurse Practitioner, Family based in Gardner, MA. Alice J. Vaine practices in Gardner, MA and has the professional credentials of NPC. The NPI Number for Alice J. Vaine is 1164418059 and holds a License No. 165352 (MA). The current practice location address for Alice J. Vaine is 242 Green St, Dept. Of Surgery, Gardner, MA 01440-1336 and can be reached out via phone at 978-630-6267 and via fax at 978-630-6596.

Provider Profile Details

NPI Number
1164418059
Provider Name
Alice J. Vaine
Credential
NPC
Provider Entity Type
Individual
Gender
Female
Address
242 Green St, Dept. Of Surgery, Gardner, MA 01440-1336
Phone Number
978-630-6267
Fax Number
978-630-6596
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2005
Last Update Date
January 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Green St
Dept. Of Surgery
Gardner, MA 01440-1336
Zip
01440-1336
Phone Number
978-630-6267
Fax Number
978-630-6596
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
242 Green St
Dept. Of Surgery
Gardner, MA 01440-1336
City
Gardner
State
MA
Zip
01440-1336
Phone Number
978-630-6267
Fax Number
978-630-6596

License Information

License Number (1)
165352
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
165352
License State (2)
MA
Taxonomy (2)
Clinical Nurse Specialist, Emergency · 364SE0003X

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 Alice J Vaine, NPC?

The NPI number of Alice J Vaine, NPC is 1164418059. It was assigned on September 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Alice J Vaine, NPC?

Alice J Vaine, NPC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 165352.

Where does Alice J Vaine, NPC practice?

The practice location is 242 Green St, Dept. Of Surgery, Gardner, MA 01440-1336. The office can be reached at 978-630-6267 (phone) or 978-630-6596 (fax).

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 1164418059 directly on the NPPES registry website.

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