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Individual

MRS. SOIMISE VERDIEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1493 CAMBRIDGE ST, PRIMARY CARE CENTER, CAMBRIDGE, MA 02139-1047
(617) 665-1068
Mailing address
1493 CAMBRIDGE ST, PRIMARY CARE CENTER, CAMBRIDGE, MA 02139-1047
(617) 665-1068

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
252811
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110079000
MA
01
NP5231
BCBS MA
MA
Enumeration date
04/18/2007
Last updated
07/15/2014
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