Individual
MARY BETH SYLVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
153726
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0354350
—
MA
01
—
NP2694
BCBSMA
MA
01
—
SYNP2694
MEDICARE
MA
Enumeration date
05/21/2008
Last updated
05/21/2008
Update your record
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