Individual
MARIA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 HIGHLAND AVE, SOMERVILLE, MA 02143-1408
(617) 591-4800
Mailing address
45 NASHUA RD, NORTH BILLERICA, MA 01862-2004
(617) 458-9998
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN2289632
MA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN2289632
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072760-21
RN LICENSE
NH
01
—
RN2289632
BOARD OF REGISTRATION IN NURSING
MA
Enumeration date
12/07/2020
Last updated
12/07/2020
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