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Individual

ROSE SEVERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPN

Contact information

Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
(617) 822-5500
Mailing address
61 SUMMER ST, STONEHAM, MA 02180-1928
(617) 519-0367

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20142319
MA

Other

Enumeration date
12/12/2014
Last updated
02/12/2026
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