Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric Elie Wakim, FNP-BC

Individual provider Registered Nurse · NPI 1770399412

Eric Elie Wakim, FNP-BC is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2024, 2 years ago. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2335200 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2335200 (MA)

Record details

NPI number1770399412
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedDecember 7, 2024
Last updated in NPPESDecember 7, 2024
Certification dateDecember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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