Ms. Denise Marie Croken
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
637 Washington St
Dorchester
, Massachusetts 02124-3510
Ms. Denise Marie Croken
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
637 Washington St
Dorchester
, Massachusetts 02124-3510
(781) 724-9135
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Ms. Denise Marie Croken
- 1 Richard St
- Revere, MA
- Zip : 02151-1141
- Phone : (781) 724-9135
Second Address
- Ms. Denise Marie Croken
- 637 Washington St
- Dorchester, MA
- Zip : 02124-3510
- Phone : (617) 825-9660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN237230 | MA |
| N | 363LP2300X | Nurse Practitioner - Primary Care | RN237230 | MA |
National Provider Identifier
| NPI | 1073083168 |
|---|---|
| Provider Name | Ms. Denise Marie Croken |
| First Address | Revere, MA 02151-1141 |
| Second Address | Dorchester, MA 02124-3510 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2018 |
| Last Update Date | 21/05/2019 |
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.