| Doctor Name: | POLIANA LARISSA VASCONCELOS |
| NPI Number: | 1013313618 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RN2266782 |
| Business Practice Address: | 100 Hospital Rd Leominster, MA - 014532253 |
| Business Phone Number: | 9784664212 |
| Business Fax Number: | |
| Mailing Address: | Po Box 415348, BOSTON |
| State: | MA |
| Postal Code: | 022415348 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2014 |
| NPI Last Update Date: | 07/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | RN2266782 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |