Healthcare Provider Details

I. General information

NPI: 1588698153
Provider Name (Legal Business Name): REGINA CRONIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. REGINA CRONIN WALSH

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 WASHINGTON ST NEWTON-WELLESLEY HOSPITAL
NEWTON MA
02462-1607
US

IV. Provider business mailing address

8 ROBBINS RD
WALPOLE MA
02081-1912
US

V. Phone/Fax

Practice location:
  • Phone: 617-243-6168
  • Fax: 617-243-6143
Mailing address:
  • Phone: 508-668-5332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number118394
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: