Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 225511 | MA |
NPI | 1013985506 |
---|---|
Provider Name | Karin L Dauphinee |
First Address | Hyannis, MA 02601-1866 |
Second Address | Harwich, MA 02645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 03/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP1751 | BCBS (01) | MA |
S77678 | (02) |