Individual
GINA INTRAVERSATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 SYCAMORE RD, MARSHFIELD, MA 02050-4432
(781) 733-0000
Mailing address
PO BOX 75, HUMAROCK, MA 02047-0075
(781) 733-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN230769
MA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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