Provider Demographics
NPI:1669542858
Name:CHARTIER, PAULETTE M (APRN, BC)
Entity type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:M
Last Name:CHARTIER
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BRIGHAM ST STE 5
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-2210
Mailing Address - Country:US
Mailing Address - Phone:508-993-8332
Mailing Address - Fax:508-993-1024
Practice Address - Street 1:52 BRIGHAM ST STE 5
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-2210
Practice Address - Country:US
Practice Address - Phone:508-993-8332
Practice Address - Fax:508-993-1024
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA138489363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI410549OtherBLUE CHIP OF RHODE ISLAND
MA778941OtherTUFTS HEALTH CARE
MAPN0715OtherBLUE CROSS BLUE SHIELD
MA256702OtherMAGELLAN BEHAVIORAL HEALT
NYAO24199OtherHARVARDPILGRIM HEALTHCARE
MA000000022412OtherBOSTON MEDICAL HEALTH NET
RI22844-001OtherBC BS OF RI
MAVALUE OPTIONSOther003771
MA1030320OtherBEACON HEALTH CARE
MA1892541OtherBEH. HEALTH PARTNERSHIP
MA0061-01OtherPACIFICARE BEHAVIORAL HLT
MA1851306Medicaid
MA000000022412OtherBOSTON MEDICAL HEALTH NET
MAPN0715OtherBLUE CROSS BLUE SHIELD