Provider Demographics
NPI:1639906050
Name:NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC
Entity type:Organization
Organization Name:NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:COSTELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-712-1233
Mailing Address - Street 1:800 W CUMMINGS PARK STE 5000
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6356
Mailing Address - Country:US
Mailing Address - Phone:781-756-2488
Mailing Address - Fax:781-756-2654
Practice Address - Street 1:4 ALUMNI DR
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2118
Practice Address - Country:US
Practice Address - Phone:603-772-2981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based