Individual
SAMANTHA NORTELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2379841
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2379841
MA
Other
Enumeration date
09/06/2024
Last updated
11/20/2024
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