Organization
MASSACHUSETTS GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MARKELLA FNP (FAMILY NURSE PRACTITIONER)
(617) 775-0638
Entity
Organization
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
45 SAINT GERMAIN ST APT 5, BOSTON, MA 02115-3224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
UNSURE
MA
Enumeration date
10/04/2019
Last updated
11/27/2023
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