Active NPIIndividual provider

Maureen Nickerson

Nurse Anesthetist, Certified Registered in Dorchester Center, Massachusetts

NPI Number1295790392
Practice location
2100 Dorchester Ave, Dorchester Center, MA 02124-5615
Fax
617-296-6919
Last updated
July 13, 2026

Maureen Nickerson is a Nurse Anesthetist, Certified Registered based in Dorchester Center, MA. Maureen Nickerson practices in Dorchester Center, MA. The NPI Number for Maureen Nickerson is 1295790392 and holds a License No. 99292 (MA). The current practice location address for Maureen Nickerson is 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 and can be reached out via phone at 617-298-4632 and via fax at 617-296-6919.

Provider Profile Details

NPI Number
1295790392
Provider Name
Maureen Nickerson
Provider Entity Type
Individual
Gender
Female
Address
2100 Dorchester Ave, Dorchester Center, MA 02124-5615
Phone Number
617-298-4632
Fax Number
617-296-6919
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
Zip
02124-5615
Phone Number
617-298-4632
Fax Number
617-296-6919
Dorchester Center, MA 02124Get directions →

Provider Business Mailing Address Details

Address
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
City
Dorchester Center
State
MA
Zip
02124-5615
Phone Number
617-298-4632
Fax Number
617-296-6919

License Information

License Number
99292
License State
MA
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · 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 Maureen Nickerson?

The NPI number of Maureen Nickerson is 1295790392. It was assigned on April 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Maureen Nickerson?

Maureen Nickerson is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number 99292.

Where does Maureen Nickerson practice?

The practice location is 2100 Dorchester Ave, Dorchester Center, MA 02124-5615. The office can be reached at 617-298-4632 (phone) or 617-296-6919 (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 1295790392 directly on the NPPES registry website.

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