Unknown Individual – Adult Health Nurse Practitioner, NPI 1164571634
Adult Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
15, Parkman Street, Fields Corner, Dorchester, Boston, Suffolk County, Massachusetts, 02122, United States
WACC 645
BOSTON, MA 021143117
Phone: (617) 726-2368
Fax: (617) 726-6861
Type: Location
17, Juniper Road, Weston, Middlesex County, Massachusetts, 01773, United States
WESTON, MA 024931316
Phone: (781) 891-8822
Fax: (781) 894-5522
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02114)
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