Healthcare Provider Details

I. General information

NPI: 1285568980
Provider Name (Legal Business Name): DANIELLE BERMINGHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 FORSYTH DR
ABINGTON MA
02351-5033
US

IV. Provider business mailing address

333 FORSYTH DR
ABINGTON MA
02351-5033
US

V. Phone/Fax

Practice location:
  • Phone: 781-936-5029
  • Fax:
Mailing address:
  • Phone: 781-936-5029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN10014539
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: