Individual
MRS. MAURA KEELEY MAHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 816-1094
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-8770
(617) 724-8769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2291213
MA
363L00000X
Nurse Practitioner
Primary
2291213
MA
363LA2100X
Acute Care Nurse Practitioner
2291213
MA
Other
Enumeration date
11/25/2015
Last updated
04/08/2020
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