Ann Marie Edson, NURSE PRACTITIONER
Individual provider Active NPI Gerontology Nurse Practitioner · Maynard, MA
NPI 1013139955 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013139955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 272452 (MA)
- Practice address
- 2 Brian Way
Maynard, MA 01754-0000 - Phone
- (978) 298-5323
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F340239 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evercare Collaborative Solutions Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | F340239 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | 272452 | MA | Yes |
Addresses
Primary practice location
2 Brian Way
Maynard, MA 01754-0000
Mailing address
2 Brian Way
Maynard, MA 01754-0000
Phone (978) 298-5323
Other providers in Maynard, MA
- CVS Pharmacy Inc
- Stephanie Delgado Hernandez
- David L Dowd
- Nicole Duane
- Ashlie Schoenhardt Duplichen
- Eileen Geralyn Cejka
- Emma R Epstein
- Extra Steps Pediatric Therapies, Inc.
- Jennifer Freidel
- Megan Gatsogiannis
All providers in Maynard, MA · Gerontology Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.