Memory and Wellness Center – Gerontology Nurse Practitioner, NPI 1164591954
Gerontology Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Memory and Wellness Center
777 GLADES RD BLDG AZ-79
BOCA RATON, FL 334316424
Phone: (561) 297-0502
Fax: (561) 297-0505
Type: Mailing
Florida Atlantic University - Boca Raton Campus, 777, Glades Road, Boca Raton, Palm Beach County, Florida, 33431, United States
BLDG AZ-79
BOCA RATON, FL 334316424
Phone: (561) 297-0502
Fax: (561) 297-0505
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-11
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33431)
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