Marybeth Bosak
Nurse Practitioner - Gerontology
36 Pemberton St Apt B
Walpole
, Massachusetts 02081-0035
Marybeth Bosak
Nurse Practitioner - Gerontology
36 Pemberton St Apt B
Walpole
, Massachusetts 02081-0035
(508) 596-8760
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Marybeth Bosak
- 36 Pemberton St Apt B
- Walpole, MA
- Zip : 02081-0035
- Phone : (508) 596-8760
Second Address
- Marybeth Bosak
- 36 Pemberton St Apt B
- Walpole, MA
- Zip : 02081-0035
- Phone : (508) 596-8760
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN2267179 | MA |
National Provider Identifier
| NPI | 1073103842 |
|---|---|
| Provider Name | Marybeth Bosak |
| First Address | Walpole, MA 02081-0035 |
| Second Address | Walpole, MA 02081-0035 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2021 |
| Last Update Date | 25/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.