Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN2345473 | MA |
NPI | 1013524164 |
---|---|
Provider Name | Atlee Quarrier |
First Address | Needham, MA 02494-3133 |
Second Address | Merrimac, MA 01860-1826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2020 |
Last Update Date | 23/10/2020 |