Individual provider · Type 1 NPI
Ann Marie Edson, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Maynard, MA
NPI number
1013139955
Active
Practice location
2 Brian Way
Maynard, MA 01754-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340239 (NY) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 272452 (MA) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1013139955
Ann Marie Edson, NURSE PRACTITIONER's National Provider Identifier is 1013139955, issued on May 2, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Maynard, MA. The record was last updated on Jul 8, 2007.