CONSTANCE L WALL-HAAS DNP NPI 1629046644

NPI Information

NPI: 1629046644
Provider Name: CONSTANCE L WALL-HAAS, DNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
228 BILLERICA RD
CHELMSFORD, MA
ZIP 01824
Phone: (978) 250-6000
Get Directions

Constance L Wall-haas, DNP is a pediatrics nurse practitioner in Chelmsford, MA. Constance L Wall-haas, DNP NPI is 1629046644. 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:

228 BILLERICA RD
CHELMSFORD, MA
ZIP 01824-604
Phone: (978) 250-6000
Fax: (978) 250-6335

The enumeration date for this NPI number is 3/8/2006 and was last updated on 3/10/2011.

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	363L00000X	Nurse Practitioner		126600	MASSACHUSETTS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	126600	MASSACHUSETTS	Yes

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
1	NP9996	OTHER	MASSACHUSETTS	BLUE CROSS
2	NP1803	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	0359891	MEDICAID	MASSACHUSETTS
4	S80766	MEDICARE UPIN	MASSACHUSETTS

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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