Active NPIIndividual provider

Therese Willette, NURSE PRACTITIONER

Nurse Practitioner, Adult Health in Everett, Massachusetts

NPI Number1306079470
Practice location
103 Garland St, Senior Care Office, Everett, MA 02149-5066
Fax
—
Last updated
May 22, 2014

Therese Willette is a Nurse Practitioner, Adult Health based in Everett, MA. Therese Willette practices in Everett, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Therese Willette is 1306079470 and holds a License No. 203525 (MA). The current practice location address for Therese Willette is 103 Garland St, Senior Care Office, Everett, MA 02149-5066 and can be reached out via phone at 617-394-7868.

Provider Profile Details

NPI Number
1306079470
Provider Name
Therese Willette
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
103 Garland St, Senior Care Office, Everett, MA 02149-5066
Phone Number
617-394-7868
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2009
Last Update Date
May 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Garland St
Senior Care Office
Everett, MA 02149-5066
Zip
02149-5066
Phone Number
617-394-7868
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
103 Garland St
Everett, MA 02149-5066
City
Everett
State
MA
Zip
02149-5066

License Information

License Number (1)
203525
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN203526
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Adult Health providers near Everett, MA

View all Nurse Practitioner, Adult Health providers in Everett →

Frequently Asked Questions

What is the NPI number of Therese Willette, NURSE PRACTITIONER?

The NPI number of Therese Willette, NURSE PRACTITIONER is 1306079470. It was assigned on August 24, 2009 and is currently active in the NPPES registry.

What is the specialty of Therese Willette, NURSE PRACTITIONER?

Therese Willette, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number 203525.

Where does Therese Willette, NURSE PRACTITIONER practice?

The practice location is 103 Garland St, Senior Care Office, Everett, MA 02149-5066. The office can be reached at 617-394-7868 (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 1306079470 directly on the NPPES registry website.

Browse related providers