Healthcare Provider Details

I. General information

NPI: 1134744659
Provider Name (Legal Business Name): BRIANA J. WALSH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 NORWOOD PARK S STE 106
NORWOOD MA
02062-4633
US

IV. Provider business mailing address

115 NORWOOD PARK S STE 106
NORWOOD MA
02062-4633
US

V. Phone/Fax

Practice location:
  • Phone: 781-352-4777
  • Fax: 781-352-4778
Mailing address:
  • Phone: 781-352-4777
  • Fax: 781-352-4778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN02323
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN10006302
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: