Individual
MS. LAURA BURT GIMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRNBC
Contact information
Practice address
24 CHANDLER STREET, WATERTOWN, MA 02472
(617) 312-2792
Mailing address
24 CHANDLER STREET, WATERTOWN, MA 02472
(617) 312-2792
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200297RNPC
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN0855
BCBS
—
Enumeration date
12/18/2006
Last updated
07/08/2007
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