Provider Demographics
NPI:1508696386
Name:CARTY, BRIGETTE (RN)
Entity type:Individual
Prefix:
First Name:BRIGETTE
Middle Name:
Last Name:CARTY
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 1:1200 MASSACHUSETTS 28
Mailing Address - Street 2:UNIT A
Mailing Address - City:YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664
Mailing Address - Country:US
Mailing Address - Phone:508-789-7562
Mailing Address - Fax:
Practice Address - Street 1:1200 MASSACHUSETTS 28
Practice Address - Street 2:UNIT A
Practice Address - City:YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664
Practice Address - Country:US
Practice Address - Phone:508-789-7562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2331405163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice