Provider Demographics
NPI:1336921378
Name:SAVINA NICOLE SETZE PMHNP PLLC
Entity type:Organization
Organization Name:SAVINA NICOLE SETZE PMHNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAVINA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SETZE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:617-401-8782
Mailing Address - Street 1:18 LYMAN ST STE 100A
Mailing Address - Street 2:PMB 1044
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581
Mailing Address - Country:US
Mailing Address - Phone:617-401-8782
Mailing Address - Fax:617-752-2913
Practice Address - Street 1:18 LYMAN ST STE 100A
Practice Address - Street 2:PMB 1044
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581
Practice Address - Country:US
Practice Address - Phone:617-401-8782
Practice Address - Fax:617-752-2913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1457961138OtherNPI