Nurse'S Square PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

NURSE'S SQUARE PLLC

Practice address

62 Summit Rd
Holbrook, MA 02343-2138

Phone

(508) 300-7066

Fax

(508) 300-7066

NPI assigned

Mar 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Vanessa Marine Fernandes, MSN, FNP-BC

Title

Owner/Ceo

Phone

(508) 300-7066

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1083464259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SUMMIT RD",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023432138",
            "telephone_number": "508-300-7066",
            "fax_number": "508-300-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SUMMIT RD",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023432138",
            "telephone_number": "508-300-7066",
            "fax_number": "508-300-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE'S SQUARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "MARINE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "508-300-7066",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Holbrook, MA
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.