Active NPIIndividual provider

Mrs. Modeleine Georgeon-Etienne

Nurse Practitioner, Gerontology in Milton, Massachusetts

NPI Number1558930016
Practice location
531 Pleasant St, Milton, MA 02186-4836
Fax
—
Last updated
June 21, 2021

Modeleine Georgeon-Etienne is a Nurse Practitioner, Gerontology based in Milton, MA. Modeleine Georgeon-Etienne practices in Milton, MA. The NPI Number for Modeleine Georgeon-Etienne is 1558930016 and holds a License No. 0000 (MA). The current practice location address for Modeleine Georgeon-Etienne is 531 Pleasant St, Milton, MA 02186-4836 and can be reached out via phone at 617-823-5534.

Provider Profile Details

NPI Number
1558930016
Provider Name
Modeleine Georgeon-Etienne
Provider Entity Type
Individual
Gender
Female
Address
531 Pleasant St, Milton, MA 02186-4836
Phone Number
617-823-5534
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2021
Last Update Date
June 21, 2021
Certification Date
June 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
531 Pleasant St
Milton, MA 02186-4836
City
Milton
Zip
02186-4836
Phone Number
617-823-5534
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
531 Pleasant St
Milton, MA 02186-4836
City
Milton
State
MA
Zip
02186-4836
Phone Number
617-823-5534

License Information

License Number
0000
License State
MA
Taxonomy
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 Mrs. Modeleine Georgeon-Etienne?

The NPI number of Mrs. Modeleine Georgeon-Etienne is 1558930016. It was assigned on June 21, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Modeleine Georgeon-Etienne?

Mrs. Modeleine Georgeon-Etienne is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 0000.

Where does Mrs. Modeleine Georgeon-Etienne practice?

The practice location is 531 Pleasant St, Milton, MA 02186-4836. The office can be reached at 617-823-5534 (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 1558930016 directly on the NPPES registry website.

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