Individual
MS. LAURA JEANNE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, MSN AGNP-C
Contact information
Practice address
55 FRUIT STREET, ELLISON 11, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
55 FRUIT ST, ELLISON 11, BOSTON, MA 02114-2696
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2261893
MA
363LA2200X
Adult Health Nurse Practitioner
2261893
MA
363LG0600X
Gerontology Nurse Practitioner
2261893
MA
Other
Enumeration date
07/03/2017
Last updated
04/19/2021
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