Individual
LEANNE MATTALIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
683 TREMONT ST APT 3, BOSTON, MA 02118-1262
(339) 309-9782
Mailing address
683 TREMONT ST APT 3, BOSTON, MA 02118-1262
(339) 309-9782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN23160616
MA
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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