ELZIRA A DEOLIVEIRA


Address: 40 Spruce Street, Leominster, MA 01453-3361
Phone: 8009775555

ELZIRA A DEOLIVEIRA (NPI# 1558316380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558316380
Entity Type Individual
Full Name ELZIRA A DEOLIVEIRA
Credential PCNS
Practice Address 40 Spruce Street
Leominster
MA 01453-3361
Mailing Address 298 Howard Street
Suite 100
Framingham
MA 01702-8313
Practice Telephone 8009775555
Mailing Telephone 5088792250
Mailing Fax Number 5086202637
Enumeration Date 2006-05-23
Last Update Date 2019-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
186008 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BOARD OF REGISTRATION IN NURSING RN186008 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
230 Maple St, Marlborough, MA 017523250 5084800092 5084811504
300 Howard St, Framingham, MA 017028313 5088792250 5086202637

Office Location

Street Address 40 SPRUCE STREET
City LEOMINSTER
State MA
Zip Code 01453-3361

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1194113837 Amy Tansey Pharmacist 927 Merriam Ave, Leominster, MA 01453 2015-01-05
1730506429 Mitchel Pyles Social Worker Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 2014-03-20
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

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1407325541 New Directions Behavioral Health LLC Clinical Nurse Specialist 10 Ash St, Danvers, MA 01923-2749 2018-11-19
1457894628 Psyche1001 Learn Grow Change LLC Clinical Nurse Specialist 638 Adamsville Rd, Suite 1001, Westport, MA 02790-5031 2016-11-21
1841642725 Joyce Daqnal Shields Clinical Nurse Specialist 132 Oakley Rd, Belmont, MA 02478-2734 2016-07-05
1386004075 Jane Bloom Clinical Nurse Specialist 95 Golden Hill, Lee, MA 01238-9132 2016-02-24
1255722716 Carol Vivori Clinical Nurse Specialist 132 Mass Moca Way, North Adams, MA 01247-2446 2015-02-05
1982995262 Linda Louise Darbyshire Clinical Nurse Specialist 60 Munson Meeting Way Ste I, Psychiatric Collaborative, Chatham, MA 02633-1992 2011-04-21
1093020091 Suzanne Elizabeth Bergeron Clinical Nurse Specialist 2 Administration Rd, Bridgewater, MA 02324-3230 2010-08-13
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Competitor

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City LEOMINSTER
Zip Code 01453

Improve Information

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Dataset Information

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.

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