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

Mary S Bannon, NP

Individual provider Gerontology Nurse Practitioner · NPI 1043392590

Mary S Bannon, NP is a Gerontology Nurse Practitioner in Waltham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

671 Main St
Waltham, MA 02451-0602
Phone: (781) 647-3040
Fax: (781) 647-3044
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 158347 (MA)

Record details

NPI number1043392590
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESJuly 28, 2017

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