Provider Demographics
NPI:1871163857
Name:LOVEJOY, MADDALENA TERESA (RN)
Entity type:Individual
Prefix:
First Name:MADDALENA
Middle Name:TERESA
Last Name:LOVEJOY
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Gender:
Credentials:RN
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Mailing Address - Street 1:30 PARKSIDE PL UNIT 116
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-7870
Mailing Address - Country:US
Mailing Address - Phone:978-942-3401
Mailing Address - Fax:
Practice Address - Street 1:85 PATTON RD
Practice Address - Street 2:
Practice Address - City:DEVENS
Practice Address - State:MA
Practice Address - Zip Code:01434-4401
Practice Address - Country:US
Practice Address - Phone:978-615-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2025-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN2310499363LP0808X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health