Provider Demographics
NPI:1477009603
Name:METHRATTA, CIGY
Entity Type:Individual
Prefix:MRS
First Name:CIGY
Middle Name:
Last Name:METHRATTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LOON HILL RD STE 301
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4365
Mailing Address - Country:US
Mailing Address - Phone:978-323-0360
Mailing Address - Fax:978-323-0362
Practice Address - Street 1:9 LOON HILL RD STE 301
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4365
Practice Address - Country:US
Practice Address - Phone:978-323-0360
Practice Address - Fax:978-323-0362
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN233724363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner