Organization · Type 2 NPI

CCN Therapeutics

Family Nurse Practitioner · Plymouth, MA

NPI number 1619611829 Active

Practice location

124 Long Pond Rd Ste 11
Plymouth, MA 02360-2664

Fax (508) 728-8381

Mailing address

296 Long Pond Rd
Plymouth, MA 02360-2602

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1619611829

CCN Therapeutics's National Provider Identifier is 1619611829, issued on Apr 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Plymouth, MA. The record was last updated on Aug 24, 2026.