Blakewell Health

Organization Active NPI Gerontology Nurse Practitioner · Bridgewater, MA

NPI 1639619216 · NPPES record last updated May 3, 2017

Key facts

NPI
1639619216
Entity type
Organization (NPI type 2)
Primary specialty
Gerontology Nurse Practitioner 363LG0600X
Legal business name
BLAKEWELL HEALTH
Practice address
120 Main St
Bridgewater, MA 02324-1409
Phone
(508) 232-6963
NPI assigned
Mar 2, 2017
Organization subpart
No

Authorized official

Name
India Michel
Title
Practice Administrator
Phone
(508) 232-6963

National Provider Directory

Locations

120 Main St
Bridgewater, MA 02324
Phone (508) 232-6963

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LG0600X Yes

Addresses

Primary practice location

120 Main St
Bridgewater, MA 02324-1409

Mailing address

120 Main St
Bridgewater, MA 02324-1409
Phone (508) 232-6963

Other names

  • Blakewell Primary Care Doing business as

Other providers in Bridgewater, MA

All providers in Bridgewater, MA · Gerontology Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.