HARBOR WELLNESS PLLC NPI 1861204745

NPI Information

  • NPI: 1861204745
  • Provider Name: HARBOR WELLNESS, PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 5 RICHFIELD CIRCLE
    CARVER, MA
    ZIP 02330
  • Phone: (508) 422-0404

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NPI Details

HARBOR WELLNESS, PLLC is a psychiatric/mental health nurse practitioner in Carver, MA. HARBOR WELLNESS, PLLC NPI is 1861204745. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 RICHFIELD CIRCLE
CARVER, MA
ZIP 02330
Phone: (508) 422-0404
Fax: (508) 422-0404

The provider's authorized official is Wayne Ethier .
The authorized official title is Owner/authorized Offical and has the following contact phone number (508) 422-0404.

The enumeration date for this NPI number is 1/27/2025 and was last updated on 1/27/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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