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Contact Information

MARY E WHITLOCK, NNP-BC
330 BROOKLINE AVE
BOSTON, MA02215
 Phone: 617-667-4042
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
 

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for

NPI # 1588959670
Entity Organization
Organization subpart 1 Not specified
Enumeration date 06/16/2011
Last updated 11/16/2020 - About 6 years ago
Identifiers
MA License # RN169645
MA Medicaid 110091271A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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