Individual
COLLEEN ADRIS LIVINGSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 S. HUNTINGTON AVE, (111) HO, JAMAICA PLAIN, MA 02130-4893
(857) 364-2471
(857) 364-4343
Mailing address
150 S. HUNTINGTON AVE, (111) HO, JAMAICA PLAIN, MA 02130-4893
(857) 364-2471
(857) 364-4343
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
65316
DC
363L00000X
Nurse Practitioner
Primary
RN196643
MA
Other
Enumeration date
06/20/2006
Last updated
07/13/2012
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