| NPI | 1164063707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MARKELLA Family Nurse Practitioner 617-775-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2023-11-27 |