Provider Demographics
NPI:1285693655
Name:SPLINTER, NANCY (RN,CS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SPLINTER
Suffix:
Gender:F
Credentials:RN,CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CUMINGS CENTER
Mailing Address - Street 2:SUITE 126Q
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6117
Mailing Address - Country:US
Mailing Address - Phone:978-524-8181
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:SUITE 126Q
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-524-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA211815363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP0059OtherBLUE CROSS BLUE SHIELD
MASP NP0059Medicare ID - Type Unspecified
MANP0059OtherBLUE CROSS BLUE SHIELD