Individual provider · Type 1 NPI
Nada M. Mowlood
Pediatric Nurse Practitioner · Worcester, MA
NPI number
1477065035
Active
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Fax (774) 443-7268
Mailing address
PO Box 415348
Boston, MA 02241-5348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN2310710 (MA) |
| Pediatric Nurse Practitioner | 363LP0200X | 7364 (CT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2310710 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477065035
Nada M. Mowlood's National Provider Identifier is 1477065035, issued on Nov 3, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Worcester, MA. The record was last updated on Sep 9, 2022.