Individual
MS. CAROLYN MARIE METIVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
197766
MA
363L00000X
Nurse Practitioner
Primary
RN197766
MA
363LA2200X
Adult Health Nurse Practitioner
197766
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084098A
—
MA
Enumeration date
03/10/2009
Last updated
09/25/2023
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