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Contact Information

MYRA F CACACE, GNP/ADM-BC, CDE
5 NEPONSET ST
WORCESTER, MA01606-2714
 Phone: 508-852-6175
 Fax: 508-595-2123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MYRA F CACACE · (Female)

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
  • MA License # NP144577
  • MA Medicaid 110015470A
  • MA Other BCNP0559 BLUE CROSS BLUE SHIELD
  • MA Other 49852 FALLON
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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