BRETT EVERETT EKSTROM FNP-C NPI 1104335900

NPI Information

  • NPI: 1104335900
  • Provider Name: BRETT EVERETT EKSTROM, FNP-C
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 CABOT RD STE 101
    HUDSON, MA
    ZIP 01749
  • Phone: (785) 623-5369

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NPI Details

Brett Everett Ekstrom, FNP-C is a primary care nurse practitioner in Hudson, MA with 9 years of experience. Brett Everett Ekstrom, FNP-C NPI is 1104335900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 CABOT RD STE 101
HUDSON, MA
ZIP 01749-963
Phone: (785) 623-5369

The NPI 1104335900 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 9/25/2017 and was last updated on 10/27/2023.

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
1363LP2300XNurse PractitionerPrimary CareRN2280502MASSACHUSETTSYes

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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