Individual
LIBBY ROSE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11 NEVINS ST, SUITE 306, BRIGHTON, MA 02135-3514
(617) 789-2045
(617) 789-2045
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2279436
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110207123A
—
MA
Enumeration date
11/21/2023
Last updated
03/12/2025
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