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MRS. MYRA F CACACE GNP/ADM-BC, CDE

Nursing Yellow Pages

Worcester, Massachusetts

Provider NPI: 1518956010

Provider Information:
MRS. MYRA F CACACE GNP/ADM-BC, CDE


Practice Location:
5 NEPONSET ST  WORCESTER, MA 01606 US
Tel: 508-852-6175  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WC0200XNursing Service Providers
Registered Nurse
Critical Care Medicine
MANP144577
N363LG0600XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MANP144577
Y363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MANP144577

Other Provider Identifiers:

IssuerNumberStateType
FALLON49852MA01
BLUE CROSS BLUE SHIELDBCNP0559MA01
110015470AMA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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