Individual
JOYCE MARIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-6058
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-6058
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
184574
MA
Other
Enumeration date
06/17/2008
Last updated
10/04/2016
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