Provider Demographics
NPI:1598093973
Name:BRIERE, HEATHER LEE (NP)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LEE
Last Name:BRIERE
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Gender:F
Credentials:NP
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Mailing Address - Street 1:128 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STURBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01566-1556
Mailing Address - Country:US
Mailing Address - Phone:508-347-9240
Mailing Address - Fax:508-347-5361
Practice Address - Street 1:9 TROLLEY CROSSING RD
Practice Address - Street 2:
Practice Address - City:CHARLTON
Practice Address - State:MA
Practice Address - Zip Code:01507-1351
Practice Address - Country:US
Practice Address - Phone:508-784-1278
Practice Address - Fax:508-784-1279
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
MA213852363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001452301Medicare PIN