Individual
MAURA A MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27 CENTENNIAL DR, PEABODY, MA 01960-7901
(978) 531-7677
(978) 531-7690
Mailing address
27 CENTENNIAL DR, PEABODY, MA 01960-7901
(978) 531-7677
(978) 531-7690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17331
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702188
—
MA
01
—
NP0891
BCBS OF MA
MA
Enumeration date
08/12/2005
Last updated
09/22/2010
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