Fabiola Bousseau Beauciquot
Individual provider Active NPI Case Management Registered Nurse · Weston, MA
NPI 1295482248 · NPPES record last updated Mar 8, 2022
Key facts
- NPI
- 1295482248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- RN283669 (MA)
- Practice address
- 235 Wellesley St Ste 1
Weston, MA 02493-1571 - Phone
- (781) 768-7000
- NPI assigned
- Mar 8, 2022
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN283669 | MA | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse |
163WC0400X | RN283669 | MA | Yes |
Addresses
Primary practice location
235 Wellesley St Ste 1
Weston, MA 02493-1571
Mailing address
135 Willard St Apt 10
Quincy, MA 02169-1545
Phone (617) 275-9216
Other practice location 1
235 Wellesley St Ste 1
Weston, MA 02493-1571
Phone (781) 768-7000
Other names
- Fabiola Bousseau
Other providers in Weston, MA
- Rosalind C. Barnett
- Catherine Barry
- Jennifer Barz
- Bassima Bashour
- Jonathan Richard Beauchamp
- Kethia Beausejour
- Karl Temple Benedict II
- Lauren Beneduce
- Taylor Leigh Benson
- Deborah Bond Berk
All providers in Weston, MA · Case Management Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2022. 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.