SUSAN ELIZABETH MULLANEY NP
NPI 1114081247
Nurse Practitioner - Gerontology in Waltham, MA
Active since December 21, 2006
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451(781) 472-8503(781) 472-8801 Get Directions Write a Review
About Susan Elizabeth Mullaney Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ELIZABETH MULLANEY NP (NPI 1114081247) is an individual gerontology provider in Waltham, Massachusetts, licensed in Massachusetts (189423) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1114081247
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSUSAN ELIZABETH MULLANEYCredential: NP
Location Address950 WINTER ST, SUITE 3800Waltham, MA 02451-1424
Mailing Address169 Hunnewell StNeedham, MA 02494-1421 · (781) 449-3142
Phone(781) 472-8503
Fax(781) 472-8801
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114081247 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 · 189423
950 WINTER ST, Waltham, MA 02451
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Adult Health)
950 WINTER ST, EVERCARE, SUITE 3800
WALTHAM, MA 02451
WALTHAM, MA 02451
Nurse Practitioner (Gerontology)
950 WINTER ST, SUITE 3800
WALTHAM, MA 02451
WALTHAM, MA 02451
Nurse Practitioner (Gerontology)
950 WINTER ST, SUITE 3800
WALTHAM, MA 02451
WALTHAM, MA 02451
Nurse Practitioner (Gerontology)
950 WINTER ST, SUITE 3800
WALTHAM, MA 02451
WALTHAM, MA 02451
Nurse Practitioner (Gerontology)
950 WINTER ST, SUITE 3800
WALTHAM, MA 02451
WALTHAM, MA 02451
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114081247, enumerated as an "individual" on December 21, 2006.
The provider is located at 950 WINTER ST SUITE 3800 WALTHAM, MA 02451 and the phone number is (781) 472-8503.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.