Individual
JANINA MARIE COLAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 894-3473
Mailing address
78 LAWN AVE, QUINCY, MA 02169-7337
(609) 519-1442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2329059
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2329059
MA
363LW0102X
Women's Health Nurse Practitioner
RN2329059
MA
Other
Enumeration date
12/07/2020
Last updated
08/24/2021
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