Individual
TAYLOR MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3112
(617) 754-8791
Mailing address
1120 BEACON ST APT 1E, BROOKLINE, MA 02446-3983
(901) 210-9492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229998
TN
163W00000X
Registered Nurse
2378655
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
2378655
MA
Other
Enumeration date
04/24/2023
Last updated
06/20/2023
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