Individual
MARISA J NEZARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
88 MONTVALE AVE STE 3, STONEHAM, MA 02180-3644
(781) 481-9255
(781) 481-9257
Mailing address
88 MONTVALE AVE STE 3, STONEHAM, MA 02180-3644
(781) 481-9255
(781) 481-9257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2328815
MA
363L00000X
Nurse Practitioner
2328815
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2328815
MA
Other
Enumeration date
07/23/2020
Last updated
08/19/2024
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