Individual
LAURA SPANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(781) 789-4227
Mailing address
32 TEMPLE ST UNIT 3, NEWBURYPORT, MA 01950-2743
(781) 789-4227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2302672
MA
Other
Enumeration date
01/16/2023
Last updated
03/07/2023
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