Blue Heron Primary Care, PLLC
Nurse Practitioner, Family in Pembroke, Massachusetts
1356114300- Practice location
- 28 Riverside Dr Ste 150, Pembroke, MA 02359-4904
- Phone
- 857-939-0187
- Fax
- —
- Last updated
- September 20, 2024
Blue Heron Primary Care, PLLC is a healthcare organization based in Pembroke, MA. Blue Heron Primary Care, PLLC practices in Pembroke, MA. The NPI Number for Blue Heron Primary Care, PLLC is 1356114300. The current practice location address for Blue Heron Primary Care, PLLC is 28 Riverside Dr Ste 150, Pembroke, MA 02359-4904 and can be reached out via phone at 857-939-0187.
Provider Profile Details
- NPI Number
- 1356114300
- Provider Name
- Blue Heron Primary Care, PLLC
- Provider Entity Type
- Organization
- Address
- 28 Riverside Dr Ste 150, Pembroke, MA 02359-4904
- Phone Number
- 857-939-0187
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Michele A Masse, FNP · Owner · 857-939-0187
- Provider Enumeration Date
- November 1, 2023
- Last Update Date
- September 20, 2024
- Certification Date
- September 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Riverside Dr Ste 150
Pembroke, MA 02359-4904 - City
- Pembroke
- State
- Massachusetts
- Zip
- 02359-4904
- Phone Number
- 857-939-0187
Provider Business Mailing Address Details
- Address
- 28 Riverside Cir Ste 150
Marshfield, MA 02050-5816 - City
- Marshfield
- State
- MA
- Zip
- 02050-5816
- Phone Number
- 857-939-0187
License Information
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Pembroke, MA
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Frequently Asked Questions
What is the NPI number of Blue Heron Primary Care, PLLC?
The NPI number of Blue Heron Primary Care, PLLC is 1356114300. It was assigned on November 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Blue Heron Primary Care, PLLC?
Blue Heron Primary Care, PLLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).
Where does Blue Heron Primary Care, PLLC practice?
The practice location is 28 Riverside Dr Ste 150, Pembroke, MA 02359-4904. The office can be reached at 857-939-0187 (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 1356114300 directly on the NPPES registry website.