Mary S Bannon, NP
Nurse Practitioner, Gerontology in Waltham, Massachusetts
1043392590- Practice location
- 671 Main St, Waltham, MA 02451-0602
- Phone
- 781-647-3040
- Fax
- 781-647-3044
- Last updated
- July 28, 2017
Mary S Bannon is a Nurse Practitioner, Gerontology based in Waltham, MA. Mary S Bannon practices in Waltham, MA and has the professional credentials of NP. The NPI Number for Mary S Bannon is 1043392590 and holds a License No. 158347 (MA). The current practice location address for Mary S Bannon is 671 Main St, Waltham, MA 02451-0602 and can be reached out via phone at 781-647-3040 and via fax at 781-647-3044.
Provider Profile Details
- NPI Number
- 1043392590
- Provider Name
- Mary S Bannon
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 671 Main St, Waltham, MA 02451-0602
- Phone Number
- 781-647-3040
- Fax Number
- 781-647-3044
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 20, 2006
- Last Update Date
- July 28, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 671 Main St
Waltham, MA 02451-0602 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-0602
- Phone Number
- 781-647-3040
- Fax Number
- 781-647-3044
Provider Business Mailing Address Details
- Address
- 47 High Street Suite 101
North Andover, MA 01845 - City
- North Andover
- State
- MA
- Zip
- 01845
- Phone Number
- 978-685-2460
- Fax Number
- 978-685-2572
License Information
- License Number
- 158347
- License State
- MA
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Gerontology providers near Waltham, MA
View all Nurse Practitioner, Gerontology providers in Waltham →- Cheryl A Hatch, NPNurse Practitioner, Gerontology · NPI 1245381342
- Irene G Campbell, NPNurse Practitioner, Gerontology · NPI 1265583389
- Jennifer M Violette, GNP-BCNurse Practitioner, Gerontology · NPI 1669522033
- Linda Satkowski, NPNurse Practitioner, Gerontology · NPI 1043360837
- Mrs. Francisca M Adams, MSN, APRN, BCNurse Practitioner, Gerontology · NPI 1477603819
- Mrs. Heather M O'Sullivan, NPNurse Practitioner, Gerontology · NPI 1700939907
Frequently Asked Questions
What is the NPI number of Mary S Bannon, NP?
The NPI number of Mary S Bannon, NP is 1043392590. It was assigned on October 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary S Bannon, NP?
Mary S Bannon, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 158347.
Where does Mary S Bannon, NP practice?
The practice location is 671 Main St, Waltham, MA 02451-0602. The office can be reached at 781-647-3040 (phone) or 781-647-3044 (fax).
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 1043392590 directly on the NPPES registry website.