Individual provider · Type 1 NPI

Janice Marie Micale, NP

Pediatric Nurse Practitioner · Boston, MA

NPI number 1053387555 Active

Practice location

165 Dartmouth St
Boston, MA 02116-5123

Call (617) 859-5000 Map

Fax (617) 859-5425

Mailing address

147 Milk St, Provider Enrollment - 9th Floor
Boston, MA 02109-4806

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X123571 (MA)
Pediatric Nurse Practitioner Primary 363LP0200X123571 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053387555

Janice Marie Micale, NP's National Provider Identifier is 1053387555, issued on Feb 24, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jul 13, 2026.