Traci Canavan, RN
Registered Nurse, Case Management in Lynn, MA. Individual provider (NPI-1).
NPI number1982245122
StatusActive
Last updated in NPPESSep 30, 2019
Details
- NPI
- 1982245122
- Entity type
- Individual (NPI-1)
- Name
- Traci Canavan
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2019
- Last updated
- Sep 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | RN277298 | MA | Yes |
Practice location
269 Union StLynn, MA 01901-1314
Phone 781-581-3900
Mailing address
269 Union StLynn, MA 01901-1314
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