Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service |
NPI | 1043973142 |
---|---|
Provider Name | Nina Pillsbury |
First Address | Norwood, MA 02062-3416 |
Second Address | Norwood, MA 02062-3416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2021 |
Last Update Date | 16/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
COM4168630 | ALLWAYS HEALTH PARTNERS (01) | MA |