MRS. BRENDA ISABELLA WOODBURY (NPI# 1174563977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174563977 |
Entity Type | Individual |
Full Name | MRS. BRENDA ISABELLA WOODBURY |
Credential | NP |
Practice Address |
332 Hanover St Nehc Boston MA 02113-1901 |
Practice Telephone | 6176438163 |
Mailing Telephone | 6176438163 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2008-04-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
121171 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
332 HANOVER ST NEHC |
City | BOSTON |
State | MA |
Zip Code | 02113-1901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265428072 | Jean M Bernhardt | Nurse Practitioner | 332 Hanover St, Boston, MA 02113-1901 | 2005-09-27 |
1346856499 | Bianca Mara Dias-pigott | Registered Nurse | 332 Hanover St, Boston, MA 02113-1901 | 2020-09-23 |
1831708684 | Darren James Maggio | Registered Nurse | 332 Hanover St, Boston, MA 02113-1901 | 2020-07-28 |
1760977441 | Karen Paola Bravo Sosa | Nurse Practitioner | 332 Hanover St, Boston, MA 02113-1901 | 2018-06-26 |
1124510847 | Alexandra Jamieson | Social Worker | 332 Hanover St, Boston, MA 02113 | 2018-05-30 |
1255832481 | Lesley Jennifer Galdamez | Dental Hygienist | 332 Hanover St, Boston, MA 02113-1901 | 2018-02-22 |
1508305103 | North End Community Health Committee Inc | Pharmacy | 332 Hanover St, Boston, MA 02113-1901 | 2017-02-15 |
1003361551 | Christine Elizabeth O'connor | Registered Nurse | 332 Hanover St, Boston, MA 02113 | 2016-08-24 |
1912307562 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 332 Hanover St, Boston, MA 02113-1901 | 2014-09-02 |
1164830659 | Nicole Simonson | Social Worker | 332 Hanover St, Boston, MA 02113-1901 | 2014-07-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790934602 | Adela Agolli | Dentist | 44 Prince Street, Apt 510, Boston, MA 02113 | 2008-09-16 |
1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
1073635793 | Anthony Vincent Bova | Dentist | 79 A Prince Street, Boston, MA 02113 | 2007-04-04 |
1932274941 | Janet Mou Lan Kwan | Nurse Practitioner | 70 Fulton Street, Boston, MA 02113 | 2006-11-22 |
1780606608 | North End Community Health Committee Inc | Preventive Medicine | 332 Hanover Street, Boston, MA 02113 | 2006-07-24 |
1427278191 | Amy Elizabeth Snell | Social Worker | 332 Hanover Street, Boston, MA 02113 | 2007-04-26 |
1154496172 | Clara M Gona | Nurse Practitioner | 70 Fulton Street, Boston, MA 02113 | 2006-11-22 |
1497390835 | Sophie Edelstein-rosenberg | Behavior Technician | 17 Snow Hill St Apt 3, Boston, MA 02113-1144 | 2019-11-08 |
1992083489 | Sarah Michelle Emswiler | Optometrist | 201 Salem St, Unit 3, Boston, MA 02113-1171 | 2011-08-01 |
1891971032 | Jamie Lynn Dolan | Speech-Language Pathologist | 181 Salem St, Unit 12, Boston, MA 02113-1292 | 2008-01-17 |
Find all providers in zip 02113 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
1366593774 | Laurie A Talarico | Nurse Practitioner | 239 Causeway St, 2nd Floor, Boston, MA 02114-2130 | 2007-01-13 |
1235237173 | Katherine Concilio | Nurse Practitioner | 72 E Concord Street, Robinson 2, Boston, MA 02118 | 2006-09-21 |
1770191868 | Lindsey Anne Landwehrle | Nurse Practitioner | 10 Gove St, Boston, MA 02128-1931 | 2020-07-15 |
1356977193 | Ricky Pamphile | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2020-03-12 |
1184271637 | Susan Jane Ulery | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2019-08-20 |
1952865735 | Vanny Mclean | Nurse Practitioner | 72 E Concord Street, Robinson 2, Boston, MA 02118 | 2019-01-26 |
1699276808 | Neuza Barros Fernandes | Nurse Practitioner | 150 S Huntington Ave, Boston, MA 02130-4817 | 2018-02-22 |
1023522497 | Tram T Tran | Nurse Practitioner | 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 | 2017-11-21 |
Find all providers in BOSTON |
Please comment or provide details below to improve the information on MRS. BRENDA ISABELLA WOODBURY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.