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NPI Code Detail

MEDICARE: MS. JULIE WAIGHT FNP-BC

MEDICARE: MS. JULIE WAIGHT FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF332392NY
2363LF0000XFamily Nurse Practitioner002122CT
3363LF0000XFamily Nurse PractitionerRN10019601MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150000 1060OTHERMEDICARE CONN

General Provider Information

NPI Number : 1871594788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE WAIGHT FNP-BC
Provider Business Mailing Address
First Line : 70 MAIN ST
Second Line :
City : FLORENCE
State : MA
Zip : 01062-1466
Country : US
Telephone Number : 413-586-8400
Fax Number : 866-644-0872
Provider Business Practice Location Address
First Line : 70 MAIN ST
Second Line :
City : FLORENCE
State : MA
Zip : 01062-1466
Country : US
Telephone Number : 413-586-8400
Fax Number : 866-644-0872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 02/20/2025

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