Healthcare Provider Details

I. General information

NPI: 1063348860
Provider Name (Legal Business Name): DENISE WARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FOGG RD
WEYMOUTH MA
02190-2455
US

IV. Provider business mailing address

55 FOGG RD
WEYMOUTH MA
02190-2455
US

V. Phone/Fax

Practice location:
  • Phone: 781-624-8000
  • Fax: 781-624-5627
Mailing address:
  • Phone: 781-624-8000
  • Fax: 781-624-5627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number205697
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: