Basic Information
| Provider Information | |||||||||
| NPI: | 1447339775 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAMBERS | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | JANE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSN, FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 253 SUMMER ST | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022101114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8888978947 | ||||||||
| FaxNumber: | 6177725519 | ||||||||
| Practice Location | |||||||||
| Address1: | 27 CHARLES ST | ||||||||
| Address2: | GHASSIBI FAMILY MEDICINE | ||||||||
| City: | NORTH ANDOVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018451664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786877235 | ||||||||
| FaxNumber: | 9787250181 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2006 | ||||||||
| LastUpdateDate: | 12/29/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 255009 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.