Provider Demographics
NPI:1942500509
Name:THAKKAR, NEHA A (FNP)
Entity type:Individual
Prefix:MRS
First Name:NEHA
Middle Name:A
Last Name:THAKKAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:272 EAST CENTRAL STREET
Mailing Address - Street 2:CVS MINUTE CLINIC
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038
Mailing Address - Country:US
Mailing Address - Phone:508-528-0597
Mailing Address - Fax:508-672-8928
Practice Address - Street 1:272 EAST CENTRAL STREET
Practice Address - Street 2:CVS MINUTE CLINIC
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038
Practice Address - Country:US
Practice Address - Phone:508-528-0597
Practice Address - Fax:508-672-8928
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN214570364SF0001X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health