Gairlande Audiesse-Vital, NP
Nurse Practitioner, Family in Brockton, Massachusetts
1477893071- Practice location
- 10 Meadowbrook RD, Brockton, MA 02301-7122
- Phone
- 508-408-9220
- Fax
- 781-995-3586
- Last updated
- September 21, 2023
Gairlande Audiesse-Vital is a Nurse Practitioner, Family based in Brockton, MA. Gairlande Audiesse-Vital practices in Brockton, MA and has the professional credentials of NP. The NPI Number for Gairlande Audiesse-Vital is 1477893071 and holds a License No. 258891 (MA). The current practice location address for Gairlande Audiesse-Vital is 10 Meadowbrook RD, Brockton, MA 02301-7122 and can be reached out via phone at 508-408-9220 and via fax at 781-995-3586.
Provider Profile Details
- NPI Number
- 1477893071
- Provider Name
- Gairlande Audiesse-Vital
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Meadowbrook RD, Brockton, MA 02301-7122
- Phone Number
- 508-408-9220
- Fax Number
- 781-995-3586
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 20, 2013
- Last Update Date
- September 21, 2023
- Certification Date
- September 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Meadowbrook RD
Brockton, MA 02301-7122 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7122
- Phone Number
- 508-408-9220
- Fax Number
- 781-995-3586
Provider Business Mailing Address Details
- Address
- 960 Massachusetts Ave Ste 2
Boston, MA 02118-2690 - City
- Boston
- State
- MA
- Zip
- 02118-2690
License Information
- License Number
- 258891
- License State
- MA
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Gairlande Audiesse-Vital, NP?
The NPI number of Gairlande Audiesse-Vital, NP is 1477893071. It was assigned on February 20, 2013 and is currently active in the NPPES registry.
What is the specialty of Gairlande Audiesse-Vital, NP?
Gairlande Audiesse-Vital, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 258891.
Where does Gairlande Audiesse-Vital, NP practice?
The practice location is 10 Meadowbrook RD, Brockton, MA 02301-7122. The office can be reached at 508-408-9220 (phone) or 781-995-3586 (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 1477893071 directly on the NPPES registry website.