Julia Mancuso
Individual provider Active NPI Certified Registered Nurse Anesthetist · South Weymouth, MA
NPI 1922474972 · NPPES record last updated Aug 13, 2015
Key facts
- NPI
- 1922474972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2266454 (MA)
- Practice address
- 55 Fogg Rd
South Weymouth, MA 02190-2432 - Phone
- (781) 624-8000
- NPI assigned
- Aug 13, 2015
- 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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2266454 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Anesthesia Associates, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2266454 | MA | Yes |
Addresses
Primary practice location
55 Fogg Rd
South Weymouth, MA 02190-2432
Mailing address
55 Fogg Rd
South Weymouth, MA 02190-2432
Other providers in South Weymouth, MA
- Sanan Mahrokhian
- Shail Maingi
- Farah Malary
- Swati Malik
- Lisa Kate Maloney
- Jushin Teg Singh Mann
- Marc P. Mansour
- Elyse Claire Manzo
- Dana Marie Marchant
- Anthony D. Marks
All providers in South Weymouth, MA · Certified Registered Nurse Anesthetist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2015. 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.