Provider Demographics
NPI:1063712503
Name:VISITING PRACTITIONERS LLC
Entity type:Organization
Organization Name:VISITING PRACTITIONERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:617-686-9595
Mailing Address - Street 1:31 DANIELS ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1103
Mailing Address - Country:US
Mailing Address - Phone:508-530-3140
Mailing Address - Fax:508-530-3142
Practice Address - Street 1:9 E CENTRAL ST STE 2
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1484
Practice Address - Country:US
Practice Address - Phone:508-530-3140
Practice Address - Fax:508-530-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA190716363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0020239Medicare PIN