Organization · Type 2 NPI

Dovetail Pac

Nurse Practitioner · Canton, MA

NPI number 1124898440 Active

Practice location

345 Neponset St Ste 3
Canton, MA 02021-1988

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124898440

Dovetail Pac's National Provider Identifier is 1124898440, issued on Jan 8, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Canton, MA. The record was last updated on Jan 8, 2024.