Maryellen Tetreault
Nurse Practitioner, Pediatrics in Westborough, Massachusetts
1609410927- Practice location
- 288 Lyman St, Westborough, MA 01581-2664
- Phone
- 508-475-2696
- Fax
- —
- Last updated
- October 30, 2019
Maryellen Tetreault is a Nurse Practitioner, Pediatrics based in Westborough, MA. Maryellen Tetreault practices in Westborough, MA. The NPI Number for Maryellen Tetreault is 1609410927 and holds a License No. RN2309070 (MA). The current practice location address for Maryellen Tetreault is 288 Lyman St, Westborough, MA 01581-2664 and can be reached out via phone at 508-475-2696.
Provider Profile Details
- NPI Number
- 1609410927
- Provider Name
- Maryellen Tetreault
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 288 Lyman St, Westborough, MA 01581-2664
- Phone Number
- 508-475-2696
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 30, 2019
- Last Update Date
- October 30, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 288 Lyman St
Westborough, MA 01581-2664 - City
- Westborough
- State
- Massachusetts
- Zip
- 01581-2664
- Phone Number
- 508-475-2696
Provider Business Mailing Address Details
- Address
- 463 Hollis St
Framingham, MA 01702-8647 - City
- Framingham
- State
- MA
- Zip
- 01702-8647
- Phone Number
- 774-276-6188
License Information
- License Number
- RN2309070
- License State
- MA
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Pediatrics providers near Westborough, MA
View all Nurse Practitioner, Pediatrics providers in Westborough →Frequently Asked Questions
What is the NPI number of Maryellen Tetreault?
The NPI number of Maryellen Tetreault is 1609410927. It was assigned on October 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Maryellen Tetreault?
Maryellen Tetreault is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN2309070.
Where does Maryellen Tetreault practice?
The practice location is 288 Lyman St, Westborough, MA 01581-2664. The office can be reached at 508-475-2696 (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 1609410927 directly on the NPPES registry website.