Individual
LAURA HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
90 WORCESTER ST APT 3, BOSTON, MA 02118-3926
(617) 688-2622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2262267
MA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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