Active NPIIndividual provider

Michael D Defabrizio

Nurse Practitioner, Family in Provincetown, Massachusetts

NPI Number1568013175
Practice location
49 Harry Kemp Way, Provincetown, MA 02657-1618
Fax
508-487-6298
Last updated
July 9, 2026

Michael Domenic Defabrizio is a Nurse Practitioner, Family based in Provincetown, MA. Michael Domenic Defabrizio practices in Provincetown, MA. The NPI Number for Michael Domenic Defabrizio is 1568013175 and holds a License No. APRN11026323 (FL). The current practice location address for Michael Domenic Defabrizio is 49 Harry Kemp Way, Provincetown, MA 02657-1618 and can be reached out via phone at 508-487-9395 and via fax at 508-487-6298.

Provider Profile Details

NPI Number
1568013175
Provider Name
Michael Domenic Defabrizio
Provider Entity Type
Individual
Gender
Male
Address
49 Harry Kemp Way, Provincetown, MA 02657-1618
Phone Number
508-487-9395
Fax Number
508-487-6298
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2019
Last Update Date
July 9, 2026
Certification Date
July 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Harry Kemp Way
Provincetown, MA 02657-1618
Zip
02657-1618
Phone Number
508-487-9395
Fax Number
508-487-6298
Provincetown, MA 02657Get directions →

Provider Business Mailing Address Details

Address
Po Box 2796
Orleans, MA 02653-6796
City
Orleans
State
MA
Zip
02653-6796
Phone Number
508-487-9395
Fax Number
508-487-6298

License Information

License Number (1)
APRN11026323
License State (1)
FL
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN2301292
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Michael D Defabrizio?

The NPI number of Michael D Defabrizio is 1568013175. It was assigned on September 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Michael D Defabrizio?

Michael D Defabrizio is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in FL under license number APRN11026323.

Where does Michael D Defabrizio practice?

The practice location is 49 Harry Kemp Way, Provincetown, MA 02657-1618. The office can be reached at 508-487-9395 (phone) or 508-487-6298 (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 1568013175 directly on the NPPES registry website.

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