MELISSA GARDNER CNP NPI 1033652987

NPI Information

NPI: 1033652987
Provider Name: MELISSA GARDNER, CNP
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
59 MERIDIAN ST
EAST BOSTON, MA
ZIP 02128
Phone: (413) 584-2173
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Melissa Gardner, CNP is an addiction (substance use disorder) registered nurse in East Boston, MA. Melissa Gardner, CNP NPI is 1033652987. 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:

59 MERIDIAN ST
EAST BOSTON, MA
ZIP 02128-959
Phone: (413) 584-2173

The NPI 1033652987 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 11/27/2016 and was last updated on 4/11/2024.

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	363LA2200X	Nurse Practitioner	Adult Health	RN2280655	MASSACHUSETTS	No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	RN2280655	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: 4/28/2024

NPI Synchronization or Removal

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