MRS. MARTHA REARDON RN WHNP-BC NPI 1780242156

NPI Information

NPI: 1780242156
Provider Name: MRS. MARTHA REARDON, RN, WHNP-BC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
133 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 421-1000
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MRS. Martha Reardon, RN, WHNP-BC is a women's health nurse practitioner in Boston, MA. MRS. Martha Reardon, RN, WHNP-BC NPI is 1780242156. 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:

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215-904
Phone: (617) 421-1000

The NPI 1780242156 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 5/31/2019 and was last updated on 12/1/2021.

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	163W00000X	Registered Nurse		RN2316889	MASSACHUSETTS	No
2	363LW0102X	Nurse Practitioner	Women's Health	RN2316889	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: 11/14/2023

NPI Synchronization or Removal

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