Individual
MS. BARBARA WALDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
742 MASSACHUSETTS AVE, ARLINGTON, MA 02476-4712
(781) 646-7301
(781) 643-8726
Mailing address
1040 WALTHAM ST, LEXINGTON, MA 02421-8033
(781) 862-3600
(781) 643-8726
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
168463
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004745
BEACON HEALTH
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
01
—
703136
TUFTS
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
01
—
NP01332
BOSTON MEDICAL
MA
Enumeration date
03/20/2007
Last updated
07/09/2007
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