Individual
LARISSA ENGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451-1424
(781) 472-8594
Mailing address
10 DANA ST, #508, CAMBRIDGE, MA 02138-5411
(617) 868-2806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
236065
MA
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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