Individual
MICHELLE MARIA SOURIS KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2258656
MA
363LP0200X
Pediatric Nurse Practitioner
2258656
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2258656
MA
Other
Enumeration date
07/23/2010
Last updated
10/13/2025
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