Provider Demographics
NPI:1396951075
Name:PARSONS, MARYTHERESA (RN, CPNP)
Entity type:Individual
Prefix:
First Name:MARYTHERESA
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 DECKERS WAY
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-8200
Mailing Address - Country:US
Mailing Address - Phone:781-834-3667
Mailing Address - Fax:
Practice Address - Street 1:51 MILL STREET BLD E SUITE 17
Practice Address - Street 2:HEALTHCARE SOUTH, P.C./ HANOVER PEDIATRICS
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339
Practice Address - Country:US
Practice Address - Phone:781-826-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA181949363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics