Healthcare Provider Details

I. General information

NPI: 1780753061
Provider Name (Legal Business Name): LEAH K BARKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH K MOYNIHAN

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 UNION ST
WESTBOROUGH MA
01581-5408
US

IV. Provider business mailing address

725 CONCORD AVE STE 3300
CAMBRIDGE MA
02138-1040
US

V. Phone/Fax

Practice location:
  • Phone: 508-870-9350
  • Fax: 508-368-3917
Mailing address:
  • Phone: 617-354-5452
  • Fax: 617-497-7503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number226603
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: