Individual
MRS. MARITA AGNES GOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 598-8128
(781) 596-3733
Mailing address
PO BOX 526, LYNN, MA 01903-0626
(781) 598-8128
(781) 596-3733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
067149-21
NH
363LF0000X
Family Nurse Practitioner
RN1021608
DC
363LF0000X
Family Nurse Practitioner
Primary
RN2258892
MA
Other
Enumeration date
11/29/2010
Last updated
09/26/2014
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