MAUREEN ANN GAUGHAN NP NPI 1699762864

NPI Information

NPI: 1699762864
Provider Name: MAUREEN ANN GAUGHAN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
5 TARKILN ROAD
KINGSTON, MA
ZIP 02364
Phone: (781) 585-1784
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Maureen Ann Gaughan, NP is a family nurse practitioner in Kingston, MA. Maureen Ann Gaughan, NP NPI is 1699762864. 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:

5 TARKILN ROAD
KINGSTON, MA
ZIP 02364-250
Phone: (781) 585-1784
Fax: (781) 585-2200

The enumeration date for this NPI number is 10/4/2005 and was last updated on 1/10/2011.

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	363LF0000X	Nurse Practitioner	Family	92659	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	S37107	MEDICARE UPIN
2	GANP0103	MEDICARE ID-TYPE UNSPECIFIED
3	0391000	MEDICAID	MASSACHUSETTS
4	SS0058	OTHER	MASSACHUSETTS	BCBSMA

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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