Individual
BARBARA HEALEY WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 GROSSMAN DR, BRAINTREE, MA 02184-4997
(781) 849-1000
(781) 849-0081
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
172806
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
172806
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359921
—
MA
01
—
NP1700
BLUE CROSS
MA
01
—
PF535
HARVARD PILGRIM
MA
Enumeration date
02/15/2006
Last updated
09/11/2025
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