Blue Heron Primary Care, Pllc
NPI #1356114300 in Pembroke, Massachusetts
Provider Information
- NPI Number
- 1356114300
- Entity Type
- Organization
- Organization Name
- Blue Heron Primary Care, Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 1, 2023
- Last Updated
- Sep 20, 2024
Practice Location
- Address
- 28 RIVERSIDE DR STE 150
- City
- Pembroke
- State
- Massachusetts
- ZIP Code
- 02359-4904
- Phone
- (857) 939-0187
Authorized Official
- Name
- MICHELE A MASSE, FNP
- Title
- OWNER
- Phone
- (857) 939-0187
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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