Moise Bourdeau, is a
Nurse Anesthetist, Certified Registered based in Malden, Massachusetts. Moise Bourdeau is licensed to practice in Massachusetts (license number RN2277270) and his current practice location is
374 Lynn St, Malden, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 869-0682.
NPI number for Moise Bourdeau is 1477400976 and his current mailing address is 374 Lynn St, Malden, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477400976.
Provider's Profile
| Full Name | Moise Bourdeau |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 374 Lynn St, Malden, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477400976
- Provider Enumeration Date: 03/13/2026
- Last Update Date: 03/13/2026
Medical Identifiers
Medical identifiers for Moise Bourdeau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477400976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | RN2277270 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Moise Bourdeau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Moise Bourdeau, 374 Lynn St, Malden, MA 02148-6231 Ph: () - | Moise Bourdeau, 374 Lynn St, Malden, MA 02148-6231 Ph: (617) 869-0682 |
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