Active NPIIndividual provider

Colleen M Canavan

Nurse Practitioner, Obstetrics & Gynecology in Waltham, Massachusetts

NPI Number1225971070
Practice location
130 Second Ave, Waltham, MA 02451-1158
Fax
—
Last updated
April 14, 2026

Colleen Megan Canavan is a Nurse Practitioner, Obstetrics & Gynecology based in Waltham, MA. Colleen Megan Canavan practices in Waltham, MA. The NPI Number for Colleen Megan Canavan is 1225971070 and holds a License No. RN2344154 (MA). The current practice location address for Colleen Megan Canavan is 130 Second Ave, Waltham, MA 02451-1158 and can be reached out via phone at 781-434-6500.

Provider Profile Details

NPI Number
1225971070
Provider Name
Colleen Megan Canavan
Provider Entity Type
Individual
Gender
Female
Address
130 Second Ave, Waltham, MA 02451-1158
Phone Number
781-434-6500
Primary Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2026
Last Update Date
April 14, 2026
Certification Date
April 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Second Ave
Waltham, MA 02451-1158
Zip
02451-1158
Phone Number
781-434-6500
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
83 Guernsey St
Roslindale, MA 02131-2316
City
Roslindale
State
MA
Zip
02131-2316
Phone Number
978-831-2367

License Information

License Number
RN2344154
License State
MA
Taxonomy
Nurse Practitioner, Obstetrics & Gynecology · 363LX0001X · 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 Colleen M Canavan?

The NPI number of Colleen M Canavan is 1225971070. It was assigned on April 14, 2026 and is currently active in the NPPES registry.

What is the specialty of Colleen M Canavan?

Colleen M Canavan is registered under the primary taxonomy Nurse Practitioner, Obstetrics & Gynecology (code 363LX0001X), licensed in MA under license number RN2344154.

Where does Colleen M Canavan practice?

The practice location is 130 Second Ave, Waltham, MA 02451-1158. The office can be reached at 781-434-6500 (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 1225971070 directly on the NPPES registry website.

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