Individual
MRS. LAURA ANNE SHERBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8071
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-8071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2265708
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2265708
MA
Other
Enumeration date
11/19/2018
Last updated
01/31/2019
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