NPI 1619608312 · live from the CMS NPI Registry
Chace Isabella Carpenter, PA-C
Physician Assistant, Medical in Boston, MA. National Provider Identifier 1619608312, active.
NPI record
| NPI | 1619608312 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 450 Brookline Ave, Boston, MA 02215 |
| Practice phone | 617-632-3000 |
| Mailing address | 160 Coolum Rd, Cambridge, VT 05444 |
| Enumerated | June 22, 2022 |
| Last updated | June 13, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.