Individual
LAURA RUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WILLARD ST STE 204, QUINCY, MA 02169-1252
(617) 682-0411
Mailing address
40 WILLARD ST STE 204, QUINCY, MA 02169-1252
(617) 682-0411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN273968
MA
Other
Enumeration date
11/22/2016
Last updated
10/17/2024
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