Active NPIIndividual provider

Heidi C Fantasia, NP

Nurse Practitioner in Beverly, Massachusetts

NPI Number1376671222
Practice location
19 Broadway, Beverly, MA 01915-4417
Fax
—
Last updated
July 8, 2007

Heidi Collins Fantasia is a Nurse Practitioner based in Beverly, MA. Heidi Collins Fantasia practices in Beverly, MA and has the professional credentials of NP. The NPI Number for Heidi Collins Fantasia is 1376671222 and holds a License No. 194537 (MA). The current practice location address for Heidi Collins Fantasia is 19 Broadway, Beverly, MA 01915-4417 and can be reached out via phone at 978-927-9824.

Provider Profile Details

NPI Number
1376671222
Provider Name
Heidi Collins Fantasia
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
19 Broadway, Beverly, MA 01915-4417
Phone Number
978-927-9824
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
March 1, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Broadway
Beverly, MA 01915-4417
Zip
01915-4417
Phone Number
978-927-9824
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
139 Cliff Ave
Winthrop, MA 02152-1007
City
Winthrop
State
MA
Zip
02152-1007
Phone Number
617-539-1857

License Information

License Number
194537
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

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 Heidi C Fantasia, NP?

The NPI number of Heidi C Fantasia, NP is 1376671222. It was assigned on March 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Heidi C Fantasia, NP?

Heidi C Fantasia, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 194537.

Where does Heidi C Fantasia, NP practice?

The practice location is 19 Broadway, Beverly, MA 01915-4417. The office can be reached at 978-927-9824 (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 1376671222 directly on the NPPES registry website.

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