Individual
EMILY DOUGLAS NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
RN2305523
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2305523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110115288A
—
MA
01
—
S400323457
MEDICARE
MA
Enumeration date
06/21/2016
Last updated
07/07/2021
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