Individual provider · Type 1 NPI

Maxwel David Carlson, CNP, DNP

Gerontology Nurse Practitioner · East Boston, MA

NPI number 1235959529 Active

Practice location

20 Maverick Sq
East Boston, MA 02128-2335

Fax (617) 568-4685

Mailing address

10 Gove St
East Boston, MA 02128-1920

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2381302 (MA)
Gerontology Nurse Practitioner Primary 363LG0600XAG09240067 (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1235959529

Maxwel David Carlson, CNP, DNP's National Provider Identifier is 1235959529, issued on Oct 12, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in East Boston, MA. The record was last updated on May 2, 2025.