M. TAYLOR FONTNEAU
NPI 1205300985
Nurse Practitioner - Family in Weymouth, MA
Active since January 16, 2019
About M. Taylor Fontneau NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
M. TAYLOR FONTNEAU (NPI 1205300985) is an individual family provider in Weymouth, Massachusetts, licensed in Massachusetts (RN2279285) and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1205300985
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameM. TAYLOR FONTNEAU
Location Address90 LIBBEY INDUSTRIAL PKWY STE 106Weymouth, MA 02189
Mailing Address90 Libbey Industrial Pkwy Ste 106Weymouth, MA 02189-3130 · (781) 682-0630
Phone(781) 682-0630
Sole ProprietorNo
Enumeration DateJanuary 16, 2019
Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1205300985 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN2279285
90 LIBBEY INDUSTRIAL PKWY STE 106, Weymouth, MA 02189
Other Names 1
Other Name (5)Miriam Taylor O'neil
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Family)
90 LIBBEY INDUSTRIAL PKWY STE 106
EAST WEYMOUTH, MA 02189
EAST WEYMOUTH, MA 02189
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205300985, enumerated as an "individual" on January 16, 2019.
The provider is located at 90 LIBBEY INDUSTRIAL PKWY STE 106 WEYMOUTH, MA 02189 and the phone number is (781) 682-0630.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.