Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen Megan Canavan

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1225971070

Colleen Megan Canavan is an Obstetrics & Gynecology Nurse Practitioner in Waltham, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

130 Second Ave
Waltham, MA 02451-1158
Phone: (781) 434-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Liberty Sq Fl 9, Boston, MA 02109-4825 — (857) 244-6750

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence RN2344154 (MA)

Record details

NPI number1225971070
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

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