Active NPIIndividual provider

Mrs. Heather M O'Sullivan, NP

Nurse Practitioner, Gerontology in Waltham, Massachusetts

NPI Number1700939907
Practice location
950 Winter St, Suite 3800, Waltham, MA 02451-1424
Fax
—
Last updated
July 8, 2007

Heather Mahoney O'Sullivan is a Nurse Practitioner, Gerontology based in Waltham, MA. Heather Mahoney O'Sullivan practices in Waltham, MA and has the professional credentials of NP. The NPI Number for Heather Mahoney O'Sullivan is 1700939907 and holds a License No. 211831 (MA). The current practice location address for Heather Mahoney O'Sullivan is 950 Winter St, Suite 3800, Waltham, MA 02451-1424 and can be reached out via phone at 781-472-8491.

Provider Profile Details

NPI Number
1700939907
Provider Name
Heather Mahoney O'Sullivan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
950 Winter St, Suite 3800, Waltham, MA 02451-1424
Phone Number
781-472-8491
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
January 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 Winter St
Suite 3800
Waltham, MA 02451-1424
Zip
02451-1424
Phone Number
781-472-8491
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
94 Kettle Hole RD
Bolton, MA 01740-1058
City
Bolton
State
MA
Zip
01740-1058
Phone Number
978-779-0396
Fax Number
978-779-8203

License Information

License Number
211831
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. Heather M O'Sullivan, NP?

The NPI number of Mrs. Heather M O'Sullivan, NP is 1700939907. It was assigned on January 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Heather M O'Sullivan, NP?

Mrs. Heather M O'Sullivan, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 211831.

Where does Mrs. Heather M O'Sullivan, NP practice?

The practice location is 950 Winter St, Suite 3800, Waltham, MA 02451-1424. The office can be reached at 781-472-8491 (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 1700939907 directly on the NPPES registry website.

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