Provider Demographics
NPI:1437125465
Name:QUANN-BABINEAU, ELIZABETH M (NP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:QUANN-BABINEAU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:500 FAUNCE CORNER RD
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-1278
Practice Address - Country:US
Practice Address - Phone:508-973-1230
Practice Address - Fax:508-973-1245
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN229107363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI25651OtherBCBS-RHODE ISLAND
MA0714321Medicaid
MA500005895OtherRAILROAD MEDICARE
MANP1324OtherBCBS-MA
RI25651OtherBCBS-RHODE ISLAND
S61772Medicare UPIN