Woolfrey, Michelle

Woolfrey, Michelle is an individual health care provider with primary practice located at 415 South St , Waltham MA 02453-2700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Woolfrey, Michelle can be contacted via phone (781) 736-3677.

Contact Information

Primary practice address
415 South St Waltham MA 02453-2700
Phone: (781) 736-3677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN00684 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2276617 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN00684 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2276617 Massachusetts

Profile Details

NPI number 1922486554
LBN Legal business name Woolfrey, Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2015
Last updated Apr 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922486554 NPPES
Rhode Island MEDICAID 1922486554
Rhode Island Other 05-0483739
Rhode Island Other 709004158

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