Provider Demographics
NPI:1720702459
Name:CASIMIR, MARGARETTE (RN-BSN)
Entity type:Individual
Prefix:
First Name:MARGARETTE
Middle Name:
Last Name:CASIMIR
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WEST ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1434
Mailing Address - Country:US
Mailing Address - Phone:347-342-8659
Mailing Address - Fax:508-941-0124
Practice Address - Street 1:33 WEST ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1434
Practice Address - Country:US
Practice Address - Phone:347-342-8659
Practice Address - Fax:508-941-0124
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA163WC0400X163WC0400X
MA163WM0705X163WM0705X
MA163WP0809X163WP0809X
MA163WG0000X163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult