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MRS. MARY ELIZABETH WHITLOCK NNP-BC NPI 1588959670


NPI Information

NPI: 1588959670
Provider Name: MRS. MARY ELIZABETH WHITLOCK, NNP-BC
Classification: General Acute Care Hospital - 282NC2000X
Entity Type: Individual

Specialization: Children

PECOS Registration: Yes

Address:
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 667-4042
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MRS. Mary Elizabeth Whitlock, NNP-BC is a children general acute care hospital in Boston, MA. MRS. Mary Elizabeth Whitlock, NNP-BC NPI is 1588959670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 667-4042

The NPI 1588959670 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2011 and was last updated on 11/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282NC2000XGeneral Acute Care HospitalChildrenRN169645MASSACHUSETTSYes
2363LN0000XNurse PractitionerNeonatalRN169645MASSACHUSETTSNo
3363LN0005XNurse PractitionerNeonatal, Critical CareRN169645MASSACHUSETTSNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110091271AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.