Active NPIOrganization

Alliance Wellcare PLLC

Nurse Practitioner, Psych/Mental Health in Waltham, Massachusetts

NPI Number1790526986
Practice location
240 Bear Hill RD Ste 104, Waltham, MA 02451-1026
Fax
—
Last updated
June 3, 2024

Alliance Wellcare PLLC is a healthcare organization based in Waltham, MA. Alliance Wellcare PLLC practices in Waltham, MA. The NPI Number for Alliance Wellcare PLLC is 1790526986. The current practice location address for Alliance Wellcare PLLC is 240 Bear Hill RD Ste 104, Waltham, MA 02451-1026 and can be reached out via phone at 781-249-8007.

Provider Profile Details

NPI Number
1790526986
Provider Name
Alliance Wellcare PLLC
Provider Entity Type
Organization
Address
240 Bear Hill RD Ste 104, Waltham, MA 02451-1026
Phone Number
781-249-8007
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Samson Ebho Osebor, PMHNP · Ceo · 781-249-8007
Provider Enumeration Date
June 3, 2024
Last Update Date
June 3, 2024
Certification Date
June 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 Bear Hill RD Ste 104
Waltham, MA 02451-1026
Zip
02451-1026
Phone Number
781-249-8007
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
240 Bear Hill RD Ste 104
Waltham, MA 02451-1026
City
Waltham
State
MA
Zip
02451-1026
Phone Number
781-249-8007

License Information

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 Alliance Wellcare PLLC?

The NPI number of Alliance Wellcare PLLC is 1790526986. It was assigned on June 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Alliance Wellcare PLLC?

Alliance Wellcare PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Alliance Wellcare PLLC practice?

The practice location is 240 Bear Hill RD Ste 104, Waltham, MA 02451-1026. The office can be reached at 781-249-8007 (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 1790526986 directly on the NPPES registry website.

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