Provider Demographics
NPI:1245475631
Name:SANTOS, JOAN (RN)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:SANTOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 NORMANDY ROW
Mailing Address - Street 2:
Mailing Address - City:TOPSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01983-1306
Mailing Address - Country:US
Mailing Address - Phone:978-887-2363
Mailing Address - Fax:978-887-7388
Practice Address - Street 1:9 NORMANDY ROW
Practice Address - Street 2:
Practice Address - City:TOPSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01983-1306
Practice Address - Country:US
Practice Address - Phone:978-887-2363
Practice Address - Fax:978-887-7388
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA136961163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse