Individual
OLESYA SIMONOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
50 UNION ST, NEWTON, MA 02459-2223
(617) 618-6000
Mailing address
50 UNION ST, NEWTON, MA 02459-2223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2348828
MA
Other
Enumeration date
09/05/2022
Last updated
10/23/2022
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