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NPI Code Detail

MEDICARE: EMILY A MAILLET FNP-BC (APRN)

MEDICARE: EMILY A MAILLET FNP-BC (APRN)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN2333568MA

General Provider Information

NPI Number : 1306737598
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY A MAILLET FNP-BC (APRN)
Provider Business Mailing Address
First Line : 35 MYSTIC ST APT 2
Second Line :
City : CHARLESTOWN
State : MA
Zip : 02129-2073
Country : US
Telephone Number : 508-523-9758
Fax Number :
Provider Business Practice Location Address
First Line : 31 MALL RD STE 240
Second Line :
City : BURLINGTON
State : MA
Zip : 01805-0001
Country : US
Telephone Number : 781-744-7954
Fax Number : 781-744-5044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2025
Last Update Date : 04/10/2026

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Directions to “ EMILY A MAILLET FNP-BC (APRN)” Practice Location

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