MEDICARE: MS. MILLICENT ROTHMAN RN, BC, NP

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
1	363LG0600X	Gerontology Nurse Practitioner	106599	MA

General Provider Information

NPI Number	:	1821136771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MILLICENT ROTHMAN RN, BC, NP

Provider Business Mailing Address
First Line	:	200 TRAPELO RD
Second Line	:	LIBERTY HEALTHCARE, FERNALD CENTER
City	:	WALTHAM
State	:	MA
Zip	:	02452-6332
Country	:	US
Telephone Number	:	781-894-3600
Fax Number	:	781-398-0310

Provider Business Practice Location Address
First Line	:	200 TRAPELO RD
Second Line	:	LIBERTY HEALTHCARE, FERNALD CENTER
City	:	WALTHAM
State	:	MA
Zip	:	02452-6332
Country	:	US
Telephone Number	:	781-894-3600
Fax Number	:	781-398-0310

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1295959849 — TRUSTEES OF TUFTS UNIVERSITY
Practice Location Address:

200 TRAPELO RD
WALTHAM, MA
02452-6332

Practice Phone: 508-384-8987
Practice Fax: 508-384-6594

1871719104 — TRUSTEES OF TUFTS UNIVERSITY
Practice Location Address:

200 TRAPELO RD
WALTHAM, MA
02452-6332

Practice Phone: 781-899-6020
Practice Fax: 781-893-1829

1982872651 — MRS. PRISCILLA I NWACHUKWU NP
Practice Location Address:

200 TRAPELO RD
WALTHAM, MA
02452-6332

Practice Phone: 781-894-3600
Practice Fax:

1164118188 — LAUREN ZANIBONI PSYD
Practice Location Address:

175 FOREST ST
WALTHAM, MA
02452-4713

Practice Phone: 619-993-3876
Practice Fax:

1114859105 — JULIE ANN BATTEN
Practice Location Address:

564 MAIN ST STE 100
WALTHAM, MA
02452-5559

Practice Phone: 833-287-7223
Practice Fax:

1780670869 — MEADOW GREEN NURSING HOME, INC.
Practice Location Address:

45 WOBURN ST
WALTHAM, MA
02452-7919

Practice Phone: 781-899-8600
Practice Fax: 781-899-3124

Directions to “ MS. MILLICENT ROTHMAN RN, BC, NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.