HOLLY GRACE DUDDY


Address: 111 Sciarappa St Apt 3, Cambridge, MA 02141-2149
Phone: 5088683000

HOLLY GRACE DUDDY (NPI# 1922626068) 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) 1922626068
Entity Type Individual
Full Name HOLLY GRACE DUDDY
Credential MS, RN, FNP-C
Practice Address 111 Sciarappa St Apt 3
Cambridge
MA 02141-2149
Practice Telephone 5088683000
Mailing Telephone 5088683000
Enumeration Date 2020-07-06
Last Update Date 2020-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F07200442 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 111 SCIARAPPA ST APT 3
City CAMBRIDGE
State MA
Zip Code 02141-2149

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City CAMBRIDGE
Zip Code 02141

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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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