Healthcare Provider Details

I. General information

NPI: 1477457232
Provider Name (Legal Business Name): JANICE C PALAGANAS PHD, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 1ST AVE
BOSTON MA
02129-4557
US

IV. Provider business mailing address

103 DAVIS RD
BEDFORD MA
01730-1507
US

V. Phone/Fax

Practice location:
  • Phone: 951-595-7744
  • Fax:
Mailing address:
  • Phone: 951-595-7744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2288729
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: