NATASHA AHANNA SIMON-MULRAIN NP NPI 1821792334

NPI Information

  • NPI: 1821792334
  • Provider Name: NATASHA AHANNA SIMON-MULRAIN, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 79 FOWLER ST
    DORCHESTER, MA
    ZIP 02121
  • Phone: (617) 955-4805

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NPI Details

Natasha Ahanna Simon-mulrain, NP is a gerontology nurse practitioner in Dorchester, MA. Natasha Ahanna Simon-mulrain, NP NPI is 1821792334. 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:

79 FOWLER ST
DORCHESTER, MA
ZIP 02121-714
Phone: (617) 955-4805

The NPI 1821792334 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 3/28/2023 and was last updated on 3/28/2023.

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
1363LG0600XNurse PractitionerGerontologyAG03230073MASSACHUSETTSYes

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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