Individual
MAUREEN OMEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2909
Mailing address
20 CIRCLE DR, WALTHAM, MA 02452-5758
(339) 222-9730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2335080
MA
363L00000X
Nurse Practitioner
Primary
RN2335080
MA
363LP0200X
Pediatric Nurse Practitioner
RN2335080
MA
Other
Enumeration date
06/11/2020
Last updated
04/05/2022
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