Individual provider · Type 1 NPI

Constance L. Wall-Haas, DNP

Pediatric Nurse Practitioner · Chelmsford, MA

NPI number 1629046644 Active

Practice location

228 Billerica Rd
Chelmsford, MA 01824-3604

Fax (978) 250-6335

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X126600 (MA)
Pediatric Nurse Practitioner Primary 363LP0200X126600 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1629046644

Constance L. Wall-Haas, DNP's National Provider Identifier is 1629046644, issued on Mar 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chelmsford, MA. The record was last updated on Mar 10, 2011.