Ronnie Tarshis Bodkin in Wayland - Family
Ronnie Tarshis Bodkin - NPI 1114040425
Ronnie Tarshis Bodkin is a Family in Wayland, Massachusetts. Ronnie Tarshis Bodkin practices all healthcare services and medical treatments related to Family. The NPI Number for Ronnie Tarshis Bodkin is 1114040425. The last update date is 2012-12-13.
Ronnie Tarshis Bodkin's current location address is 118 Woodridge Rd, Wayland, Massachusetts. You can contact this provider via phone number 5083582480. The mailing address for Ronnie Tarshis Bodkin is 118 Woodridge Rd, Wayland, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronnie Tarshis Bodkin |
|---|---|
| Address | 118 Woodridge Rd, Wayland, Massachusetts |
| Phone Number | 5083582480 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1114040425 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2012-12-13 |
Provider Mailing Address Detail
| Address | 118 Woodridge Rd |
|---|---|
| City | Wayland |
| State | Massachusetts (MA) |
| Post Code | 17783724 |
| Phone Number | 5083582480 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 117434 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique provider identifier assigned to Ronnie Tarshis Bodkin?
The Ronnie Tarshis Bodkin has been issued the NPI (National Provider Identifier) 1114040425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Ronnie Tarshis Bodkin's physical address?
The Ronnie Tarshis Bodkin is physically located at 118 Woodridge Rd, in the city of Wayland, MA, with the postal code 17783724.
What is the area of specialization for Ronnie Tarshis Bodkin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ronnie Tarshis Bodkin is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Ronnie Tarshis Bodkin receive its 1114040425 assignment from the Centers for Medicare & Medicaid Services?
The Ronnie Tarshis Bodkin was assigned its 1114040425 by the Centers for Medicare & Medicaid Services on 2007-04-10.
When was the information related to Ronnie Tarshis Bodkin most recently updated or refreshed?
The details pertaining to the Ronnie Tarshis Bodkin, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-12-13.
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