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JUDITH ANN MCGONAGLE NP NPI 1770826935


NPI Information

NPI: 1770826935
Provider Name: JUDITH ANN MCGONAGLE, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
725 ALBANY ST
SHAPIRO 7, SUITE B
BOSTON, MA
ZIP 02118
Phone: (617) 638-8456
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Judith Ann Mcgonagle, NP is an acute care nurse practitioner in Boston, MA. Judith Ann Mcgonagle, NP NPI is 1770826935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 ALBANY ST
SHAPIRO 7, SUITE B
BOSTON, MA
ZIP 02118-526
Phone: (617) 638-8456
Fax: (617) 638-8465

The enumeration date for this NPI number is 4/5/2013 and was last updated on 9/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareRN198111MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110102003AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.