John Wahlberg, RN
Registered Nurse in Agawam, Massachusetts
1932654175- Practice location
- 75 Corey Colonial, Agawam, MA 01001-2747
- Phone
- 860-869-3708
- Fax
- —
- Last updated
- August 17, 2016
John Wahlberg is a Registered Nurse based in Agawam, MA. John Wahlberg practices in Agawam, MA and has the professional credentials of RN. The NPI Number for John Wahlberg is 1932654175 and holds a License No. 110099 (CT). The current practice location address for John Wahlberg is 75 Corey Colonial, Agawam, MA 01001-2747 and can be reached out via phone at 860-869-3708.
Provider Profile Details
- NPI Number
- 1932654175
- Provider Name
- John Wahlberg
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 75 Corey Colonial, Agawam, MA 01001-2747
- Phone Number
- 860-869-3708
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 17, 2016
- Last Update Date
- August 17, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Corey Colonial
Agawam, MA 01001-2747 - City
- Agawam
- State
- Massachusetts
- Zip
- 01001-2747
- Phone Number
- 860-869-3708
Provider Business Mailing Address Details
- Address
- 75 Corey Colonial
Agawam, MA 01001-2747 - City
- Agawam
- State
- MA
- Zip
- 01001-2747
- Phone Number
- 860-869-3708
License Information
- License Number (1)
- 110099
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- RN2284924
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 John Wahlberg, RN?
The NPI number of John Wahlberg, RN is 1932654175. It was assigned on August 17, 2016 and is currently active in the NPPES registry.
What is the specialty of John Wahlberg, RN?
John Wahlberg, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in CT under license number 110099.
Where does John Wahlberg, RN practice?
The practice location is 75 Corey Colonial, Agawam, MA 01001-2747. The office can be reached at 860-869-3708 (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 1932654175 directly on the NPPES registry website.