Provider Demographics
NPI:1558337014
Name:QUATTROCCHI, NANCY BARBARA (ANP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:BARBARA
Last Name:QUATTROCCHI
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 WILDER ST.
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-3091
Mailing Address - Country:US
Mailing Address - Phone:978-934-4991
Mailing Address - Fax:978-934-3080
Practice Address - Street 1:71 WILDER ST
Practice Address - Street 2:SUITE 5
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-3097
Practice Address - Country:US
Practice Address - Phone:978-934-4991
Practice Address - Fax:978-934-3080
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106421363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health