Provider Demographics
NPI:1992380307
Name:CAITRIN SALVUCCI NP
Entity Type:Organization
Organization Name:CAITRIN SALVUCCI NP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAITRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALVUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:617-299-9889
Mailing Address - Street 1:56 CHESTNUT HILL AVE STE 104A
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3398
Mailing Address - Country:US
Mailing Address - Phone:617-299-9889
Mailing Address - Fax:781-558-9191
Practice Address - Street 1:56 CHESTNUT HILL AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3398
Practice Address - Country:US
Practice Address - Phone:617-299-9889
Practice Address - Fax:781-558-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty