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Leah Wilson

Nurse Practitioner, Family in Boston, MA. Individual provider (NPI-1).

NPI number1982135257
StatusActive
Last updated in NPPESMay 16, 2019

Details

NPI
1982135257
Entity type
Individual (NPI-1)
Name
Leah Wilson
Sex
Female
Sole proprietor
No
Enumeration date
Mar 27, 2017
Last updated
May 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2313235MAYes
363L00000X Nurse PractitionerRN2313235MA

Practice location

388 Commonwealth Ave
Boston, MA 02215-2800

Phone 617-585-7462

Mailing address

388 Commonwealth Ave
Boston, MA 02215-2800

Other practice locations

9 Hope Ave Ste 500
Waltham, MA 02453-2751

Phone 781-647-6797

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