Individual
LAURA E O'MELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 3, BOSTON, MA 02115-5724
(617) 355-4837
(617) 730-0316
Mailing address
89 OTIS ST, MILTON, MA 02186-4905
(617) 232-2939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201579
MA
Other
Enumeration date
07/15/2006
Last updated
03/04/2016
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