William R Carbonneau, CNP
Nurse Practitioner in Worcester, Massachusetts
1528158714- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-421-1400
- Fax
- 508-421-1490
- Last updated
- March 4, 2021
William R. Carbonneau is a Nurse Practitioner based in Worcester, MA. William R. Carbonneau practices in Worcester, MA and has the professional credentials of CNP. The NPI Number for William R. Carbonneau is 1528158714 and holds a License No. 206199 (MA). The current practice location address for William R. Carbonneau is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-421-1400 and via fax at 508-421-1490.
Provider Profile Details
- NPI Number
- 1528158714
- Provider Name
- William R. Carbonneau
- Credential
- CNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-421-1400
- Fax Number
- 508-421-1490
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 16, 2006
- Last Update Date
- March 4, 2021
- Certification Date
- March 4, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-421-1400
- Fax Number
- 508-421-1490
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
License Information
- License Number (1)
- 206199
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- RN2061999
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · 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 William R Carbonneau, CNP?
The NPI number of William R Carbonneau, CNP is 1528158714. It was assigned on October 16, 2006 and is currently active in the NPPES registry.
What is the specialty of William R Carbonneau, CNP?
William R Carbonneau, CNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 206199.
Where does William R Carbonneau, CNP practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-421-1400 (phone) or 508-421-1490 (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 1528158714 directly on the NPPES registry website.