Individual
MYRA LISA VALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 BROOKLINE AVE, KS206, BOSTON, MA 02215-5400
(617) 667-2949
(617) 975-5207
Mailing address
85 RIPLEY ST, NEWTON, MA 02459-2210
(617) 838-0069
(617) 975-5207
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
237652
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703796
—
MA
Enumeration date
09/01/2006
Last updated
07/09/2007
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