Individual
MIRIAM KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.N.P., FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
195664
MA
363L00000X
Nurse Practitioner
RN/NP195664
MA
363LF0000X
Family Nurse Practitioner
Primary
RN/NP195664
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3539056
CIGNA
MA
01
—
923778
TUFTS HEALTH PLAN
MA
01
—
AA348737
HARVARD PILGRIM HEALTH CARE
MA
Enumeration date
11/13/2006
Last updated
04/01/2014
Update your record
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