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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYBETH BOSAK

Active

MARYBETH BOSAK is a Gerontological Nurse Practitioner healthcare provider located in WALPOLE, Massachusetts. NPI 1073103842 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · WALPOLE, MA

Registration Details

NPI Number
1073103842
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2021 (5.5071684262432 yrs)
Last Updated
Jan 25, 2021
License
RN2267179 (MA)

Practice Information

Address
36 PEMBERTON ST APT B
WALPOLE, MA, 020810035
Browse MA providers · Browse ZIP 02081
Phone
5085968760
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.