Individual provider · NPI-1
Julissa Santos
Registered Nurse, General Practice · Lawrence, MA
NPI number1023691920
StatusActive
Last updated in NPPESJun 20, 2025
Details
- NPI
- 1023691920
- Entity type
- Individual (NPI-1)
- Name
- Julissa Santos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2021
- Certification date
- Jun 20, 2025
- Last updated
- Jun 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN2349104 | MA | Yes |
Practice location
34 Haverhill StLawrence, MA 01841-2884
Phone 978-686-0090
Mailing address
34 Haverhill StLawrence, MA 01841-2884
Phone 978-686-0090
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