MARK FLYNN MAVILIA (NPI# 1306204284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306204284 |
| Entity Type | Individual |
| Full Name | MARK FLYNN MAVILIA |
| Credential | FNP |
| Practice Address |
35 Lawson Ter Brockton MA 02301-7096 |
| Practice Telephone | 6177504773 |
| Mailing Telephone | 6177504773 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN276152 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
35 LAWSON TER |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145841 | Jennifer Teixeira | Nurse Practitioner | 25 N Bassett Rd, Brockton, MA 02301-3610 | 2020-05-15 |
| 1013557321 | Maxine Dube | Nurse Practitioner | 77 Byron Ave # 2, Brockton, MA 02301-4201 | 2020-01-14 |
| 1598317935 | Kimberly Centeio | Nurse Practitioner | 69 Byron Ave, Brockton, MA 02301-4201 | 2019-07-16 |
| 1780128025 | Jessica Redon | Nurse Practitioner | 1324 Belmont St Ste 105, Brockton, MA 02301-4435 | 2016-12-06 |
| 1205273828 | Denise Marie Jimenez | Nurse Practitioner | 940 Belmont Street Building 4/unit 4-1-c (tcu), V.a. Medical Center, Brockton, MA 02301 | 2013-05-23 |
| 1932445665 | Katherine Rita Dugan | Nurse Practitioner | 940 Belmont St # 11pc, Brockton, MA 02301 | 2012-12-28 |
| 1275757502 | Christine M. Hiatt | Nurse Practitioner | 942 West Chestnut Street, Brockton, MA 02301-5567 | 2007-04-11 |
| 1356951784 | Adam S Donahue | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5674 | 2020-07-31 |
| 1467950741 | Linesary Cezaire | Nurse Practitioner | 189 Quincy St, Brockton, MA 02302-2967 | 2018-02-01 |
| 1619480670 | Deborah Anne Poche' | Nurse Practitioner | 1 Pearl St, Brockton, MA 02301-2864 | 2017-11-13 |
| Find all providers in BROCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.