Individual
MAYOMI MEGGISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R234990
MD
163W00000X
Registered Nurse
RN2324590
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2324590
MA
Other
Enumeration date
08/14/2022
Last updated
02/03/2026
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