Active NPIIndividual provider

Mary Jo J Brogna

Registered Nurse, Administrator in Mattapan, Massachusetts

NPI Number1508434614
Practice location
1135 Morton St, Mattapan, MA 02126-2834
Fax
—
Last updated
June 15, 2021

Mary Jo Jo Brogna is a Registered Nurse, Administrator based in Mattapan, MA. Mary Jo Jo Brogna practices in Mattapan, MA. The NPI Number for Mary Jo Jo Brogna is 1508434614 and holds a License No. 162528 (MA). The current practice location address for Mary Jo Jo Brogna is 1135 Morton St, Mattapan, MA 02126-2834 and can be reached out via phone at 617-282-3200.

Provider Profile Details

NPI Number
1508434614
Provider Name
Mary Jo Jo Brogna
Provider Entity Type
Individual
Gender
Female
Address
1135 Morton St, Mattapan, MA 02126-2834
Phone Number
617-282-3200
Primary Taxonomy
Registered Nurse, Administrator · 163WA2000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2021
Last Update Date
June 15, 2021
Certification Date
June 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1135 Morton St
Mattapan, MA 02126-2834
Zip
02126-2834
Phone Number
617-282-3200
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
1135 Morton St
Mattapan, MA 02126-2834
City
Mattapan
State
MA
Zip
02126-2834
Phone Number
617-282-3200

License Information

License Number
162528
License State
MA
Taxonomy
Registered Nurse, Administrator · 163WA2000X · 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 Mary Jo J Brogna?

The NPI number of Mary Jo J Brogna is 1508434614. It was assigned on June 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Mary Jo J Brogna?

Mary Jo J Brogna is registered under the primary taxonomy Registered Nurse, Administrator (code 163WA2000X), licensed in MA under license number 162528.

Where does Mary Jo J Brogna practice?

The practice location is 1135 Morton St, Mattapan, MA 02126-2834. The office can be reached at 617-282-3200 (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 1508434614 directly on the NPPES registry website.

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