Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Adult |
364SP0809X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1902637754 |
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| LBN Legal business name | CHERYL DOUCETTE ANP BC PMHCNS BC LLC | ||||
| Authorized official | CHERYL DOUCETTE - (OWNER, MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/13/2024 | ||||
| Last updated | 08/13/2024 - More than a year ago | ||||
| Identifiers |
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