Line Rose Isaac Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Brockton, MA

NPI

1609734573

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

2263597 (MA)

Sex

Female

Sole proprietor

Yes

Enumerated

2026-01-12

Last updated

2026-01-12