Active NPIIndividual provider

Maxwel D Carlson, CNP, DNP

Nurse Practitioner, Gerontology in East Boston, Massachusetts

NPI Number1235959529
Practice location
20 Maverick Sq, East Boston, MA 02128-2335
Fax
617-568-4685
Last updated
May 2, 2025

Maxwel David Carlson is a Nurse Practitioner, Gerontology based in East Boston, MA. Maxwel David Carlson practices in East Boston, MA and has the professional credentials of CNP, DNP. The NPI Number for Maxwel David Carlson is 1235959529 and holds a License No. RN2381302 (MA). The current practice location address for Maxwel David Carlson is 20 Maverick Sq, East Boston, MA 02128-2335 and can be reached out via phone at 617-569-5800 and via fax at 617-568-4685.

Provider Profile Details

NPI Number
1235959529
Provider Name
Maxwel David Carlson
Credential
CNP, DNP
Provider Entity Type
Individual
Gender
Male
Address
20 Maverick Sq, East Boston, MA 02128-2335
Phone Number
617-569-5800
Fax Number
617-568-4685
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
October 12, 2024
Last Update Date
May 2, 2025
Certification Date
May 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Maverick Sq
East Boston, MA 02128-2335
Zip
02128-2335
Phone Number
617-569-5800
Fax Number
617-568-4685
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
10 Gove St
East Boston, MA 02128-1920
City
East Boston
State
MA
Zip
02128-1920
Phone Number
617-569-5800
Fax Number
617-568-4756

License Information

License Number (1)
RN2381302
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
AG09240067
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · 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 Maxwel D Carlson, CNP, DNP?

The NPI number of Maxwel D Carlson, CNP, DNP is 1235959529. It was assigned on October 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Maxwel D Carlson, CNP, DNP?

Maxwel D Carlson, CNP, DNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number RN2381302.

Where does Maxwel D Carlson, CNP, DNP practice?

The practice location is 20 Maverick Sq, East Boston, MA 02128-2335. The office can be reached at 617-569-5800 (phone) or 617-568-4685 (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 1235959529 directly on the NPPES registry website.

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