Individual provider · Type 1 NPI

Ronald Wilson Makarutsa, RN

Primary Care Nurse Practitioner · Lowell, MA

NPI number 1871147264 Active

Practice location

295 Varnum Ave
Lowell, MA 01854-2134

Mailing address

9 Merrimac Way Unit H
Tyngsboro, MA 01879-2760

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X132742 (MT)
Registered Nurse 163W00000X60919611 (WA)
Gastroenterology Registered Nurse 163WG0100X266267 (MA)
Primary Care Nurse Practitioner Primary 363LP2300X266267 (MA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1871147264

Ronald Wilson Makarutsa, RN's National Provider Identifier is 1871147264, issued on Jul 24, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lowell, MA. The record was last updated on Oct 20, 2022.