Ms. Marie Rose M Moreau
Nurse Practitioner - Primary Care
745 River Street
Hyde Park
, Massachusetts 02136-6441
Ms. Marie Rose M Moreau
Nurse Practitioner - Primary Care
745 River Street
Hyde Park
, Massachusetts 02136-6441
(617) 288-7126
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Ms. Marie Rose M Moreau
- 745 River St
- Hyde Park, MA
- Zip : 02136-6441
- Phone : (617) 288-7126
Second Address
- Ms. Marie Rose M Moreau
- 745 River Street
- Hyde Park, MA
- Zip : 02136-6441
- Phone : (617) 288-7126
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 0325632 | MA |
National Provider Identifier
| NPI | 1013261767 |
|---|---|
| Provider Name | Ms. Marie Rose M Moreau |
| First Address | Hyde Park, MA 02136-6441 |
| Second Address | Hyde Park, MA 02136-6441 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2012 |
| Last Update Date | 11/04/2018 |
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.