Individual
SAMANTHA SUMMERHAYS BERLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, CNP
Contact information
Practice address
55 FRUIT STREET, FOUNDERS 610, BOSTON, MA 02114
(617) 643-0990
Mailing address
55 FRUIT STREET, FOUNDERS 610, BOSTON, MA 02114
(617) 643-0990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2319994
MA
363LF0000X
Family Nurse Practitioner
Primary
AP61290966
WA
Other
Enumeration date
10/01/2018
Last updated
05/24/2022
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