Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 190986 | MA |
NPI | 1013085570 |
---|---|
Provider Name | Mrs. Andria Savery |
First Address | Marion, MA 02738-1655 |
Second Address | New Bedford, MA 02740-6232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 21/11/2016 |