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MS. EVELYN MARY CROTTY RN

Nursing Service Providers Registered Nurse

Provider NPI: 1164768693

Provider Information:
MS. EVELYN MARY CROTTY RN
Gender: F
Not Sole Proprietor

Practice Location:
1492 CAMBRIDGE ST  CAMBRIDGE, MA 02139-1004 US
Tel: 617-665-2800  Fax: --

Business Mailing Address:
1492 CAMBRIDGE ST  CAMBRIDGE, MA 02139-1004 US
Tel: 617-665-2800  Fax: --

NPI Information:
NPI: 1164768693
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
MA152506
N163WG0000XNursing Service Providers
Registered Nurse
MA152506
N163WM0102XNursing Service Providers
Registered Nurse
MA152508
N163WN0003XNursing Service Providers
Registered Nurse
MA152506
N163WP1700XNursing Service Providers
Registered Nurse
MA152506
Y163WP2201XNursing Service Providers
Registered Nurse
MA152508
N163WW0101XNursing Service Providers
Registered Nurse
MA152506
N163WX0002XNursing Service Providers
Registered Nurse
MA152506
N163WX0003XNursing Service Providers
Registered Nurse
MA152506

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WP2201X

Type:

Classification:



Definition:



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