Provider Demographics
NPI:1073174124
Name:COMPASSIONATE MEDICAL AND BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:COMPASSIONATE MEDICAL AND BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT-DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-249-8888
Mailing Address - Street 1:22 RITA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1976
Mailing Address - Country:US
Mailing Address - Phone:347-249-7888
Mailing Address - Fax:
Practice Address - Street 1:22 RITA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1976
Practice Address - Country:US
Practice Address - Phone:347-249-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty