Provider Demographics
NPI:1104932219
Name:MCCABE, BETH M (RNC, MS, NP)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:M
Last Name:MCCABE
Suffix:
Gender:F
Credentials:RNC, MS, NP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:526 MAIN ST STE 302
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:978-371-0522
Practice Address - Street 1:133 LITTLETON RD STE 205
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3198
Practice Address - Country:US
Practice Address - Phone:978-371-7010
Practice Address - Fax:978-371-0522
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA143411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP2484OtherBC/BS OF MA
MAMM0463264IOtherSTATE CONTROLLED SUBSTANC
MA98107OtherFALLEN COMMUNITY HEALTH C
MAMM0166238OtherFEDERAL DEA
MANP2484Medicare ID - Type Unspecified