Individual
MS. MAURA E STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 619-5900
Mailing address
66 CANAL ST FL 2, BOSTON, MA 02114-2002
(617) 538-4587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2298884
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2298884
MA
Other
Enumeration date
07/01/2016
Last updated
01/30/2023
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