Individual
LAURA A NEVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7095
Mailing address
300 BROADWAY, SOMERVILLE, MA 02145-2935
(617) 284-7095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN175686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002138
NHP
MA
01
—
NENP1564
BCBS
MA
Enumeration date
01/26/2007
Last updated
11/18/2011
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