MARYBETH BOSAK NPI 1073103842

NPI Information

  • NPI: 1073103842
  • Provider Name: MARYBETH BOSAK
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 36 PEMBERTON ST APT B
    WALPOLE, MA
    ZIP 02081
  • Phone: (508) 596-8760

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NPI Details

Marybeth Bosak is a gerontology nurse practitioner in Walpole, MA. Marybeth Bosak NPI is 1073103842. 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:

36 PEMBERTON ST APT B
WALPOLE, MA
ZIP 02081-035
Phone: (508) 596-8760

The enumeration date for this NPI number is 1/25/2021 and was last updated on 1/25/2021.

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
1363LG0600XNurse PractitionerGerontologyRN2267179MASSACHUSETTSYes

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: 11/21/2025

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