person
Mary Ellen Dickinson, C-PNP
Pediatric Nurse Practitioner in Brockton, Massachusetts
NPI 1356334429

Mary Ellen Dickinson is a Pediatric Nurse Practitioner based in Plympton, MA and is specialized in Pediatrics. Mary Ellen Dickinson practices in Brockton, MA and has the professional credentials of C-PNP. The NPI Number for Mary Ellen Dickinson is 1356334429 and holds a License No. 216258 (Massachusetts).

The current practice location address for Mary Ellen Dickinson is 370 Oak St, Brockton, MA and can be reached out via phone at 508-584-1234 and via fax at 508-584-0230.

Location: 370 Oak St, Brockton, MA, 02367-1602
person
Provider Profile Details
NPI Number
1356334429
Provider Name
Mary Ellen Dickinson
Credential
C-PNP
Provider Entity Type
Individual
Gender
Female
Address
370 Oak St, Brockton, MA, 02367-1602
Phone Number
508-584-1234
Fax Number
508-584-0230
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70010000NP9823 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
370 Oak St
City
State
Zip
02301-1341
Phone Number
508-584-1234
Fax Number
508-584-0230
person
Provider Business Mailing Address Details
Address
370 Oak St
City
State
Zip
02301-1341
Phone Number
508-584-1234
Fax Number
508-584-0230
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
216258 (Massachusetts)
Definition
Definition to come...
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