Individual
MRS. LEIGH BASTABLE POITEVENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
36 WHITE ST, STE 1, CAMBRIDGE, MA 02140-1449
(617) 876-5519
Mailing address
250 1ST AVE, UNIT 508, CHARLESTOWN, MA 02129-4401
(315) 345-1900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2246591
MA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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