Maria S. Avila-wallace N.P.

NPI 1649460866 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1649460866
Gender Female
Enumeration Date 07/25/2007
Last Updated 07/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
55 FRUIT ST
YAWKEY CENTER 9E
BOSTON MA, 02114-2621, US
Phone (617) 724-4800
Fax (617) 724-6898
Business Location
55 FRUIT ST
YAWKEY CENTER 9E
BOSTON MA, 02114-2621, US
Phone (617) 724-4800
Fax (617) 724-6898
Toxanomy
Taxonomy Code 363LW0102X
License State Massachusetts
License Number 206032
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According to our database, Ms. Maria S. Avila-wallace N.P. NPI is 1649460866, taxonomy code is 363LW0102X and license number is 206032, license state is located at Massachusetts. Maria S. Avila-wallace N.P. physically located at 55 Fruit St, Boston MA, 02114-2621. NPI Number Maria S. Avila-wallace N.P. has the Individual type.

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1649460866 NPI number is provided on an as is basis without warranty of any kind. 1649460866 is maintained by the National Plan & Provider Enumeration System. The contents of Maria S. Avila-wallace N.P. are for informational purposes only.