MARISSA PROVENCHER

BOSTON, MA
NPI1023966934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP2201X Registered Nurse, Ambulatory Care
(Licence: MA  RN2343674)
Enumeration Date2026-03-17
Last Update Date2026-03-17
Business Address
MARISSA PROVENCHER
930 COMMONWEALTH AVE
BOSTON, MA 02215-1274
Phone number: 617-414-6800
Mailing Address
MARISSA PROVENCHER
1 ARBROTH ST
BOSTON, MA 02122-2511
Phone number: 603-401-2389