| Heather J Proulx, CRNA | |
|
75 Lindall St, Danvers, MA 01923-2121 | |
| (978) 774-4400 | |
| (978) 777-1462 |
| Full Name | Heather J Proulx |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 75 Lindall St, Danvers, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457342057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 173890 (Massachusetts) | Primary |
| Entity Name | Beverly Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427041268 PECOS PAC ID: 2961491667 Enrollment ID: O20040508000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather J Proulx, CRNA 75 Lindall St, Danvers, MA 01923-2121 Ph: (978) 774-4400 | Heather J Proulx, CRNA 75 Lindall St, Danvers, MA 01923-2121 Ph: (978) 774-4400 |
Daniel J Duffy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 480 Maple St Ste C233a, Danvers, MA 01923 Phone: 978-304-8691 | |
Beth A Coolidge, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 75 Lindall St, Danvers, MA 01923 Phone: 978-774-4400 Fax: 978-777-1462 | |
Margaret Maxson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 75 Lindall St, Danvers, MA 01923 Phone: 978-646-7088 Fax: 978-777-1462 | |
Ann Larson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 75 Lindall St, Danvers, MA 01923 Phone: 979-646-7088 Fax: 978-777-1462 | |
Charlene A Basile, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 75 Lindall St, Hunt Center, Danvers, MA 01923 Phone: 978-646-7088 Fax: 978-777-1462 | |
James Reed, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 75 Lindall St, Danvers, MA 01923 Phone: 978-774-4400 Fax: 978-777-1462 | |
Christie Ann Ellis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 480 Maple St, Suite C233a, Danvers, MA 01923 Phone: 978-304-8691 |