NPI 1235968199 · live from the CMS NPI Registry
Mary Angevine, RN, CPNP-PC
Nurse Practitioner, Pediatrics in Boston, MA. National Provider Identifier 1235968199, active.
NPI record
| NPI | 1235968199 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 300 Longwood Ave, Boston, MA 02115 |
| Practice phone | 617-355-6000 |
| Enumerated | July 30, 2024 |
| Last updated | December 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | RN2372448 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.