Active NPIIndividual provider

Dana Petrosevich

Registered Nurse, Addiction (Substance Use Disorder) in Brockton, Massachusetts

NPI Number1285470625
Practice location
180 Centre St, Brockton, MA 02302-2733
Fax
—
Last updated
July 5, 2024

Dana Petrosevich is a Registered Nurse, Addiction (Substance Use Disorder) based in Brockton, MA. Dana Petrosevich practices in Brockton, MA. The NPI Number for Dana Petrosevich is 1285470625 and holds a License No. RN2368090 (MA). The current practice location address for Dana Petrosevich is 180 Centre St, Brockton, MA 02302-2733 and can be reached out via phone at 508-586-6300.

Provider Profile Details

NPI Number
1285470625
Provider Name
Dana Petrosevich
Provider Entity Type
Individual
Gender
Female
Address
180 Centre St, Brockton, MA 02302-2733
Phone Number
508-586-6300
Sole Proprietor
No
Provider Enumeration Date
July 5, 2024
Last Update Date
July 5, 2024
Certification Date
July 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Centre St
Brockton, MA 02302-2733
Zip
02302-2733
Phone Number
508-586-6300
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
180 Centre St
Brockton, MA 02302-2733
City
Brockton
State
MA
Zip
02302-2733

License Information

License Number (1)
RN2368090
License State (1)
MA
Taxonomy (1)
Registered Nurse, Addiction (Substance Use Disorder) · 163WA0400X · Primary
License Number (2)
RN2368090
License State (2)
MA

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 Dana Petrosevich?

The NPI number of Dana Petrosevich is 1285470625. It was assigned on July 5, 2024 and is currently active in the NPPES registry.

What is the specialty of Dana Petrosevich?

Dana Petrosevich is registered under the primary taxonomy Registered Nurse, Addiction (Substance Use Disorder) (code 163WA0400X), licensed in MA under license number RN2368090.

Where does Dana Petrosevich practice?

The practice location is 180 Centre St, Brockton, MA 02302-2733. The office can be reached at 508-586-6300 (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 1285470625 directly on the NPPES registry website.

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