Individual
MS. LAURA MONROE WILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P., R.N.
Contact information
Practice address
20 BRADSTON ST, ATTN: MEDICAL SERVICES DEPT H.S.A SUFFOLK CORRECTIONS, BOSTON, MA 02118-2705
(617) 635-1000
Mailing address
20 BRADSTON ST, ATTN: MEDICAL SERVICES DEPT H.S.A SUFFOLK CORRECTIONS, BOSTON, MA 02118-2705
(617) 635-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2290930
MA
363L00000X
Nurse Practitioner
Primary
RN2290930
MA
Other
Enumeration date
04/02/2013
Last updated
05/05/2014
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