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MARYBETH BOSAK
NPI 1073103842
Nurse Practitioner - Gerontology in Walpole, MA

Active since January 25, 2021
36 PEMBERTON ST APT B, WALPOLE, MA 02081(508) 596-8760 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marybeth Bosak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYBETH BOSAK (NPI 1073103842) is an individual gerontology provider in Walpole, Massachusetts, licensed in Massachusetts (RN2267179) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1073103842
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARYBETH BOSAK
Location Address36 PEMBERTON ST APT BWalpole, MA 02081-0035
Mailing Address36 Pemberton St Apt BWalpole, MA 02081-0035 · (508) 596-8760
Phone(508) 596-8760
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1073103842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · RN2267179
36 PEMBERTON ST APT B, Walpole, MA 02081
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marybeth Bosak's NPI number?

The NPI number for Marybeth Bosak is 1073103842. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Marybeth Bosak located?

Marybeth Bosak practices at 36 Pemberton St Apt B, Walpole, MA 02081. The listed phone number is (508) 596-8760.

What is Marybeth Bosak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Marybeth Bosak was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.