Active NPIIndividual providerSole proprietor

Ms. Marie Rose M Moreau, NURSE PRACTITIONER

Nurse Practitioner, Primary Care in Hyde Park, Massachusetts

NPI Number1013261767
Practice location
745 River Street, Hyde Park, MA 02136-6441
Fax
—
Last updated
April 11, 2018

Marie Rose M Moreau is a Nurse Practitioner, Primary Care based in Hyde Park, MA. Marie Rose M Moreau practices in Hyde Park, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Marie Rose M Moreau is 1013261767 and holds a License No. 0325632 (MA). The current practice location address for Marie Rose M Moreau is 745 River Street, Hyde Park, MA 02136-6441 and can be reached out via phone at 617-288-7126.

Provider Profile Details

NPI Number
1013261767
Provider Name
Marie Rose M Moreau
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
745 River Street, Hyde Park, MA 02136-6441
Phone Number
617-288-7126
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
November 2, 2012
Last Update Date
April 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
745 River Street
Hyde Park, MA 02136-6441
Zip
02136-6441
Phone Number
617-288-7126
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
745 River St
Hyde Park, MA 02136-6441
City
Hyde Park
State
MA
Zip
02136-6441
Phone Number
617-288-7126

License Information

License Number
0325632
License State
MA
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Marie Rose M Moreau, NURSE PRACTITIONER?

The NPI number of Ms. Marie Rose M Moreau, NURSE PRACTITIONER is 1013261767. It was assigned on November 2, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Marie Rose M Moreau, NURSE PRACTITIONER?

Ms. Marie Rose M Moreau, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number 0325632.

Where does Ms. Marie Rose M Moreau, NURSE PRACTITIONER practice?

The practice location is 745 River Street, Hyde Park, MA 02136-6441. The office can be reached at 617-288-7126 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013261767 directly on the NPPES registry website.

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