Individual
WAYNE ETHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP-BC
Contact information
Practice address
6 LIBERTY SQ STE 91536, BOSTON, MA 02109-5800
(508) 422-0404
(857) 578-1200
Mailing address
6 LIBERTY SQ STE 91536, BOSTON, MA 02109-5800
(508) 422-0404
(857) 578-1200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2314626
MA
Other
Enumeration date
04/13/2011
Last updated
03/04/2026
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