Individual provider · Type 1 NPI

Ronnie Tarshis Bodkin, NP

Family Nurse Practitioner · Wayland, MA

NPI number 1114040425 Active

Practice location

118 Woodridge Rd
Wayland, MA 01778-3724

Mailing address

119 Windsor St
Cambridge, MA 02139-3647

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X117434 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1114040425

Ronnie Tarshis Bodkin, NP's National Provider Identifier is 1114040425, issued on Apr 10, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wayland, MA. The record was last updated on Dec 13, 2012.