Michael Domenic Defabrizio
Michael Domenic Defabrizio is a Nurse Practitioner in Provincetown, Massachusetts. Qualified in 2019, 7 years ago. Practices with Holy Cross Hospital Inc, a 300-clinician group and accepts Medicare assignment. Licensed in Florida and Massachusetts.
- Years since qualifying
- 7
- Licensed in
- FL, MA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
49 Harry Kemp WayProvincetown, MA 02657-1618
Phone: (508) 487-9395
Fax: (508) 487-6298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence RN2301292 (MA) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence APRN11026323 (FL) |
Record details
| NPI number | 1568013175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 25, 2019 |
| Last updated in NPPES | July 9, 2026 |
| Certification date | July 9, 2026 |
| Mailing address | Po Box 2796, Orleans, MA 02653-6796 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Holy Cross Hospital Inc — 300 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Provincetown
-
Maria Coyne
49 Harry Kemp Way, Provincetown, MA 02657-1618 · (508) 487-9395
-
Dr. Thomas Jude McQuaid, DNP
286A Bradford St Unit 9, Provincetown, MA 02657-1843 · (917) 566-3554
-
Mrs. Susan H. Roderick, CFNP
49 Harry Kemp Way Outer Cape Health, Provincetown, MA 02657-1618 · (508) 487-9395