Mrs. Constance Mary Flynn
Nurse Practitioner - Community Health
165 Tor Ct
Pittsfield
, Massachusetts 01201-3001
Mrs. Constance Mary Flynn
Nurse Practitioner - Community Health
165 Tor Ct
Pittsfield
, Massachusetts 01201-3001
(413) 447-2667
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Mrs. Constance Mary Flynn
- 725 North Street
- Pittsfield, MA
- Zip : 01201
- Fax : (413) 447-2667
- Phone : (413) 395-7655
Second Address
- Mrs. Constance Mary Flynn
- 165 Tor Ct
- Pittsfield, MA
- Zip : 01201-3001
- Fax : (413) 447-2869
- Phone : (413) 447-2862
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 131866 | MA |
National Provider Identifier
| NPI | 1508120445 |
|---|---|
| Provider Name | Mrs. Constance Mary Flynn |
| First Address | Pittsfield, MA 01201 |
| Second Address | Pittsfield, MA 01201-3001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2012 |
| Last Update Date | 17/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002905201 | MEDICARE B (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.