Healthcare Provider Details

I. General information

NPI: 1063327237
Provider Name (Legal Business Name): RENEE RAGUCCI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 REDFIELD ST STE 208
BOSTON MA
02122-3646
US

IV. Provider business mailing address

50 RUSSELL AVE
WESTWOOD MA
02090-2525
US

V. Phone/Fax

Practice location:
  • Phone: 508-433-3687
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2302509
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: