Individual
INGRID G. NEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
886 WASHINGTON ST, NORWOOD, MA 02062-3466
(781) 551-3535
Mailing address
886 WASHINGTON ST, NORWOOD, MA 02062-3466
(781) 551-3535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN198001
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN198001
LICENSE#
MA
Enumeration date
07/20/2011
Last updated
07/20/2011
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