1598989493 NPI number — MRS. JULIA R. CUZNER NURSE PRACTITIONER

Table of content: MRS. JULIA R. CUZNER NURSE PRACTITIONER (NPI 1598989493)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598989493 NPI number — MRS. JULIA R. CUZNER NURSE PRACTITIONER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CUZNER
Provider First Name:
JULIA
Provider Middle Name:
R.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NURSE PRACTITIONER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598989493
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
81 HIGHLAND AVE
Provider Second Line Business Mailing Address:
NORTH SHORE MEDICAL CENTER PREOPERATIVE TESTING CENTER
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01970-5309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-741-1200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
81 HIGHLAND AVE
Provider Second Line Business Practice Location Address:
NORTH SHORE MEDICAL CENTER PREOPERATIVE TESTING CENTER
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01970-2714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-741-1200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  223339 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0326330 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8302371 . This is a "EVER CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: NP 4350 . This is a "BLUE CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: NP4350 . This is a "BLUE CARE ELECT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: NP4350 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 003176 . This is a "SENIOR WHOLE HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 21246428192 . This is a "BEECH ST" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: NP4350 . This is a "HMO BLUE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 91325 . This is a "91325" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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