NPI Profile for MYRA F CACACE in WORCESTER, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X | |||
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI # | 1518956010 |
|
| Status | Active | |
| Credentials | GNP/ADM-BC, CDE | |
| Entity | Individual | |
| Enumeration date | 10/18/2005 | |
| Last updated | 09/27/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MYRA F CACACE
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