John Harrison

Individual provider Active NPI Critical Care Medicine Registered Nurse · East Walpole, MA

NPI 1285528141 · NPPES record last updated Jun 5, 2025

Key facts

NPI
1285528141
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
RN2325758 (MA)
Practice address
31 Wycliffe Rd
East Walpole, MA 02032-1352
Phone
(508) 380-4659
NPI assigned
Jun 5, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN2325758MAMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN2325758 MA Yes

Addresses

Primary practice location

31 Wycliffe Rd
East Walpole, MA 02032-1352

Mailing address

31 Wycliffe Rd
East Walpole, MA 02032-1352
Phone (508) 380-4659

Other providers in East Walpole, MA

All providers in East Walpole, MA · Critical Care Medicine Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.