Individual provider · Type 1 NPI

Heather Rose McMullan, RN

Pediatric Nurse Practitioner · Boston, MA

NPI number 1609500404 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Mailing address

1490 Centre St
Newton, MA 02459-2447

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200XRN267413 (MA)
Pediatric Nurse Practitioner Primary 363LP0200XRN267413 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1609500404

Heather Rose McMullan, RN's National Provider Identifier is 1609500404, issued on Jul 15, 2022. 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 10, 2024.