Individual
ELIZABETH S WAITHIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
NOVA PSYCHIATRIC SERVICES, 1261 FURNACE BROOK PARKWAY, QUINCY, MA 02169
(617) 479-4545
(617) 479-4545
Mailing address
84 EMILY JEFFERS ROAD, RANDOLPH, MA 02368
(508) 933-9665
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2274050
MA
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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