Healthcare Provider Details

I. General information

NPI: 1104251602
Provider Name (Legal Business Name): ADDIE F DAY RN, ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADDIE F SCHWARZ

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 MOUNT AUBURN ST STE 101A
CAMBRIDGE MA
02138-4518
US

IV. Provider business mailing address

330 MT AUBURN ST PARSONS 2
CAMBRIDGE MA
02138-5597
US

V. Phone/Fax

Practice location:
  • Phone: 617-492-4545
  • Fax:
Mailing address:
  • Phone: 617-492-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2277693
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN2277693
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN2277693
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number068485-21
License Number StateNH
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2277693
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: