Individual provider · Type 1 NPI

Heather Mahoney O'Sullivan, NP

Gerontology Nurse Practitioner · Waltham, MA

NPI number 1700939907 Active

Practice location

950 Winter St, Suite 3800
Waltham, MA 02451-1424

Mailing address

94 Kettle Hole Rd
Bolton, MA 01740-1058

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X211831 (MA)

Gerontology Nurse Practitioner: Definition to come...

58 other providers at this address

Other gerontology nurse practitioner providers in Waltham

See all in Waltham →

About NPI 1700939907

Heather Mahoney O'Sullivan, NP's National Provider Identifier is 1700939907, issued on Jan 19, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Waltham, MA. The record was last updated on Jul 8, 2007.