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Individual

MISS LINDSEY CATHERINE GEORGOULIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
44 ELM ST, APT 3, SOMERVILLE, MA 02143-2229
(978) 269-4137
Mailing address
44 ELM ST, APT 3, SOMERVILLE, MA 02143-2229
(978) 269-4137

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2258801
MA
163WC0200X
Critical Care Medicine Registered Nurse
RN2258801
MA
163WG0000X
General Practice Registered Nurse
RN2258801
MA
163WH1000X
Hospice Registered Nurse
RN2258801
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN2258801
MASS BOARD OF REGISTERED NURSES LICENSE
MA
Enumeration date
11/01/2016
Last updated
11/01/2016
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