1922141985 NPI number — MRS. ALICE MARGARET DUBOIS RN, ANP, ACNP

Table of content: MRS. ALICE MARGARET DUBOIS RN, ANP, ACNP (NPI 1922141985)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922141985 NPI number — MRS. ALICE MARGARET DUBOIS RN, ANP, ACNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUBOIS
Provider First Name:
ALICE
Provider Middle Name:
MARGARET
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN, ANP, ACNP
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:
1922141985
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:
12 QUINCY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATERTOWN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02472-1811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-924-1919
Provider Business Mailing Address Fax Number:
617-924-1919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55 FRUIT ST COX 201
Provider Second Line Business Practice Location Address:
MASSACHUSETTS GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-724-9112
Provider Business Practice Location Address Fax Number:
617-643-2874
Provider Enumeration Date:
02/15/2007

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: 363LA2100X , with the licence number:  106724 , 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)





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