Individual
LAUREN MOUCHATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
596 BROADWAY, EVERETT, MA 02149-3743
(617) 387-3330
Mailing address
77 ADAMS ST UNIT 810, QUINCY, MA 02169-2032
(781) 248-8358
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN2301050
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2301050
MA
Other
Enumeration date
06/04/2018
Last updated
04/07/2020
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