Individual
MEREDITH PATRICIA DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
86 S CENTRAL AVE, QUINCY, MA 02170-4026
(617) 943-2069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2335802
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6155
NORTHEASTERN UNIVERSITY
—
Enumeration date
06/18/2022
Last updated
09/05/2023
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