Individual
LAURA WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
12 MITCHELL ST APT 3, SOUTH BOSTON, MA 02127-2819
(774) 286-9381
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
115241
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115241
NBCRNA
—
Enumeration date
05/25/2017
Last updated
05/25/2017
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