Individual
MS. NAN SARA MIDGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-7362
(617) 726-7653
Mailing address
19 ADELAIDE ST APT 2L, JAMAICA PLAIN, MA 02130-2142
(617) 983-0398
(617) 726-7653
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
128838
MA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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