IndividualActive
Mary Miller, ANP,GNP
NPI 1790834166 · Gerontology Nurse Practitioner · Waltham, MA
Provider details
- NPI number
- 1790834166
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP,GNP
- Sex
- Female
- Sole proprietor
- No
- License
- MA (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
950 Winter St
Suite 3800
Waltham, MA 02451-1424
Phone: (781) 472-8500
Approximate (ZIP-level) locationGet directions
Mailing address
106 Enterprise St
Duxbury, MA 02332-3307
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.