IndividualActive
Mary Jo Brogna
NPI 1508434614 · Administrator Registered Nurse · Mattapan, MA
Provider details
- NPI number
- 1508434614
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 162528 (MA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1135 Morton St
Mattapan, MA 02126-2834
Phone: (617) 282-3200
Approximate (ZIP-level) locationGet directions
Mailing address
1135 Morton St
Mattapan, MA 02126-2834
Registry dates
- Enumerated
- 2021-06-15
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.