Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 114157 | MA |
NPI | 1003832460 |
---|---|
Provider Name | Ms. Laurie Appleby |
First Address | Boston, MA 02115-6013 |
Second Address | Boston, MA 02115-6013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 08/07/2007 |