COMPREHENSIVE WELLNESS CONNECTION NPI 1144988098

NPI Information

  • NPI: 1144988098
  • Provider Name: COMPREHENSIVE WELLNESS CONNECTION
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 867 BOYLSTON ST
    STE 500, UNIT 483
    BOSTON, MA
    ZIP 02116
  • Phone: (617) 987-4004

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NPI Details

COMPREHENSIVE WELLNESS CONNECTION is a psychiatric/mental health nurse practitioner in Boston, MA. COMPREHENSIVE WELLNESS CONNECTION NPI is 1144988098. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

867 BOYLSTON ST
STE 500, UNIT 483
BOSTON, MA
ZIP 02116
Phone: (617) 987-4004

The provider's authorized official is Robin Shannon .
The authorized official title is Owner and has the following contact phone number (617) 987-4004.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 12/7/2021.

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
1363L00000XNurse PractitionerNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RN2326129OTHERMASSACHUSETTSMA RN STATE LICENSURE

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: 3/30/2025

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