Active NPIIndividual provider

Mark Waksmonski, APRN

Nurse Practitioner, Psych/Mental Health in Bedford, Massachusetts

NPI Number1417576554
Practice location
12 Mudge Way, Bedford, MA 01730-2147
Fax
—
Last updated
April 9, 2020

Mark Waksmonski is a Nurse Practitioner, Psych/Mental Health based in Bedford, MA. Mark Waksmonski practices in Bedford, MA and has the professional credentials of APRN. The NPI Number for Mark Waksmonski is 1417576554 and holds a License No. RN2282430 (MA). The current practice location address for Mark Waksmonski is 12 Mudge Way, Bedford, MA 01730-2147 and can be reached out via phone at 781-275-6507.

Provider Profile Details

NPI Number
1417576554
Provider Name
Mark Waksmonski
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
12 Mudge Way, Bedford, MA 01730-2147
Phone Number
781-275-6507
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
April 9, 2020
Last Update Date
April 9, 2020
Certification Date
April 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Mudge Way
Bedford, MA 01730-2147
Zip
01730-2147
Phone Number
781-275-6507
Bedford, MA 01730Get directions →

Provider Business Mailing Address Details

Address
Po Box 659
Londonderry, NH 03053-0659
City
Londonderry
State
NH
Zip
03053-0659

License Information

License Number
RN2282430
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Mark Waksmonski, APRN?

The NPI number of Mark Waksmonski, APRN is 1417576554. It was assigned on April 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Mark Waksmonski, APRN?

Mark Waksmonski, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2282430.

Where does Mark Waksmonski, APRN practice?

The practice location is 12 Mudge Way, Bedford, MA 01730-2147. The office can be reached at 781-275-6507 (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 1417576554 directly on the NPPES registry website.

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