Organization · Type 2 NPI
Moon Spot Wellness Center PC
Psychiatric/Mental Health Nurse Practitioner · East Bridgewater, MA
NPI number
1447741350
Active
Practice location
36 N Bedford St Ste 3
East Bridgewater, MA 02333-1186
Fax (774) 568-5605
Mailing address
1442 Old Pleasant St
Bridgewater, MA 02324-2139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 176838 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1447741350
Moon Spot Wellness Center PC's National Provider Identifier is 1447741350, issued on May 25, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Bridgewater, MA. The record was last updated on May 25, 2018.