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Contact Information

CARISSA GLAVINE, NP
74 LOOMIS ST
BEDFORD, MA01730-2248
 Phone: 781-674-2900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for CARISSA GLAVINE · (Female)

NPI Number 1871779587
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/11/2008
Last updated 01/11/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 232662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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