MRS. HEATHER MAHONEY O'SULLIVAN NP NPI 1700939907

NPI Information

NPI: 1700939907
Provider Name: MRS. HEATHER MAHONEY O'SULLIVAN, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
950 WINTER ST
SUITE 3800
WALTHAM, MA
ZIP 02451
Phone: (781) 472-8491
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MRS. Heather Mahoney O'sullivan, NP is a gerontology nurse practitioner in Waltham, MA. MRS. Heather Mahoney O'sullivan, NP NPI is 1700939907. 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:

950 WINTER ST
SUITE 3800
WALTHAM, MA
ZIP 02451-424
Phone: (781) 472-8491

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	211831	MASSACHUSETTS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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