Individual
MELISSA STANVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 PARK DR APT 5, BOSTON, MA 02215-5114
(978) 846-3994
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F02191203
MA
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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