Mr. Walter J Moulaison Jr., RN
Registered Nurse, Administrator in Boston, Massachusetts
1972651735- Practice location
- 55 Fruit St, Clinics Building 144, Boston, MA 02114-2621
- Phone
- 617-726-2577
- Fax
- —
- Last updated
- July 8, 2007
Walter John Moulaison is a Registered Nurse, Administrator based in Boston, MA. Walter John Moulaison practices in Boston, MA and has the professional credentials of RN. The NPI Number for Walter John Moulaison is 1972651735 and holds a License No. 161307 (MA). The current practice location address for Walter John Moulaison is 55 Fruit St, Clinics Building 144, Boston, MA 02114-2621 and can be reached out via phone at 617-726-2577.
Provider Profile Details
- NPI Number
- 1972651735
- Provider Name
- Walter John Moulaison
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Fruit St, Clinics Building 144, Boston, MA 02114-2621
- Phone Number
- 617-726-2577
- Primary Taxonomy
- Registered Nurse, Administrator · 163WA2000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 8, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fruit St
Clinics Building 144
Boston, MA 02114-2621 - City
- Boston
- State
- Massachusetts
- Zip
- 02114-2621
- Phone Number
- 617-726-2577
Provider Business Mailing Address Details
- Address
- 13 Manor Dr
Peabody, MA 01960-2057 - City
- Peabody
- State
- MA
- Zip
- 01960-2057
- Phone Number
- 978-535-7084
License Information
- License Number
- 161307
- License State
- MA
- Taxonomy
- Registered Nurse, Administrator · 163WA2000X · 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 Mr. Walter J Moulaison Jr., RN?
The NPI number of Mr. Walter J Moulaison Jr., RN is 1972651735. It was assigned on January 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Walter J Moulaison Jr., RN?
Mr. Walter J Moulaison Jr., RN is registered under the primary taxonomy Registered Nurse, Administrator (code 163WA2000X), licensed in MA under license number 161307.
Where does Mr. Walter J Moulaison Jr., RN practice?
The practice location is 55 Fruit St, Clinics Building 144, Boston, MA 02114-2621. The office can be reached at 617-726-2577 (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 1972651735 directly on the NPPES registry website.