Individual
MAUREEN L WAITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP, RN
Contact information
Practice address
40 2ND AVE, SUITE 170, WALTHAM, MA 02451-1132
(781) 890-3610
(781) 890-3612
Mailing address
40 SECOND AVE, SUITE 170, WALTHAM, MA 02451-1132
(781) 890-3610
(781) 890-3612
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN263098
MA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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