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

Mary Kennelly Frey, GNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1215175849

Mary Kennelly Frey, GNP-BC is a Gerontology Nurse Practitioner in Waltham, Massachusetts. Licensed in Rhode Island. Registered with an NPI since 2009.

Licensed in
RI
In the registry since
2009

Practice location Address checks out

950 Winter St Ste 3800
Waltham, MA 02451-1424
Phone: (781) 472-8569
Fax: (781) 472-9802
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence NP36928 (RI)

Record details

NPI number1215175849
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP-BC
Sole proprietorNo
NPI enumeratedFebruary 4, 2009
Last updated in NPPESFebruary 4, 2009

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