Provider Demographics
NPI:1902990450
Name:POST, JUDITH MIRIAM (RN,CS)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:MIRIAM
Last Name:POST
Suffix:
Gender:F
Credentials:RN,CS
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:MIRIAM
Other - Last Name:KERBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,CS
Mailing Address - Street 1:11 NORTH HILL AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1221
Mailing Address - Country:US
Mailing Address - Phone:781-449-2620
Mailing Address - Fax:781-449-2620
Practice Address - Street 1:209 QUINCY STREET
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-2926
Practice Address - Country:US
Practice Address - Phone:508-584-2291
Practice Address - Fax:508-584-3480
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA84307163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPNO139OtherBLUE CROSS BLUE SHIELD
MANSO360Medicare ID - Type Unspecified
MAPNO139OtherBLUE CROSS BLUE SHIELD