Individual
LAURA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9 HOPE AVE, WALTHAM, MA 02453-2741
(508) 944-9095
Mailing address
9 HOPE AVE, WALTHAM, MA 02453-2741
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
179213
MA
Other
Enumeration date
11/18/2011
Last updated
12/12/2012
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