Individual
GAIL MINDY LIBOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 982-5100
(617) 972-5439
Mailing address
485 ARSENAL ST, WATERTOWN, MA 02472-5091
(617) 972-5100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
143806
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
143806
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2001
BLUE CROSS
MA
Enumeration date
03/21/2006
Last updated
11/16/2020
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