Provider Demographics
NPI:1104317320
Name:NURTURE ACUPUNCTURE INC
Entity type:Organization
Organization Name:NURTURE ACUPUNCTURE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:RILEY
Authorized Official - Last Name:HORESH
Authorized Official - Suffix:
Authorized Official - Credentials:LICAC
Authorized Official - Phone:978-660-4502
Mailing Address - Street 1:56 BURNHAM RD
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-1111
Mailing Address - Country:US
Mailing Address - Phone:978-660-4502
Mailing Address - Fax:
Practice Address - Street 1:57 OLD ROAD TO 9 ACRE COR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3317
Practice Address - Country:US
Practice Address - Phone:978-660-4502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA241987302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization