Provider Demographics
NPI:1962463687
Name:MCLAUGHLIN, CAROLYN JO (NP)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:JO
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:TURNPIKE STATION
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-0062
Mailing Address - Country:US
Mailing Address - Phone:508-334-8815
Mailing Address - Fax:508-334-5374
Practice Address - Street 1:281 LINCOLN ST
Practice Address - Street 2:PRE ADMISSION TESTING
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2138
Practice Address - Country:US
Practice Address - Phone:508-334-5734
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA138167363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0701726Medicaid
MAMC NP3796Medicare ID - Type Unspecified
MA0701726Medicaid