Individual provider · Type 1 NPI

Heidi Collins Fantasia, NP

Nurse Practitioner · Beverly, MA

NPI number 1376671222 Active

Practice location

19 Broadway
Beverly, MA 01915-4417

Mailing address

139 Cliff Ave
Winthrop, MA 02152-1007

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X194537 (MA)

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 1376671222

Heidi Collins Fantasia, NP's National Provider Identifier is 1376671222, issued on Mar 1, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beverly, MA. The record was last updated on Jul 8, 2007.