MARISSA JOAN WARDWELL RN NPI 1841717915

NPI Information

NPI: 1841717915
Provider Name: MARISSA JOAN WARDWELL, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
14 PEMBROKE ST
MEDFORD, MA
ZIP 02155
Phone: (617) 435-7867
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Marissa Joan Wardwell, RN is a home health registered nurse in Medford, MA. Marissa Joan Wardwell, RN NPI is 1841717915. 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:

14 PEMBROKE ST
MEDFORD, MA
ZIP 02155-827
Phone: (617) 435-7867

The enumeration date for this NPI number is 8/29/2017 and was last updated on 8/29/2017.

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	163WH0200X	Registered Nurse	Home Health	RN2316896	MASSACHUSETTS	Yes

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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