Provider Demographics
NPI:1659621795
Name:WALSH, MAUREEN FRANCES (RN)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:FRANCES
Last Name:WALSH
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:4 ELM ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1906
Mailing Address - Country:US
Mailing Address - Phone:781-856-4702
Mailing Address - Fax:617-376-8910
Practice Address - Street 1:4 ELM ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1906
Practice Address - Country:US
Practice Address - Phone:781-856-4702
Practice Address - Fax:617-376-8910
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
MA189075363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health