Individual
MAXWEL DAVID CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, DNP
Contact information
Practice address
20 MAVERICK SQ, EAST BOSTON, MA 02128-2335
(617) 569-5800
(617) 568-4685
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2381302
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
AG09240067
MA
Other
Enumeration date
10/12/2024
Last updated
05/02/2025
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