Doctor Name: | MARTHA NENCIOLI |
NPI Number: | 1124074760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNP |
License Number: | 167958 |
Business Practice Address: | 10 Gove St East Boston, MA - 021281920 |
Business Phone Number: | 6175695800 |
Business Fax Number: | 6175684780 |
Mailing Address: | 10 Gove St, EAST BOSTON |
State: | MA |
Postal Code: | 021281920 |
Phone Number: | 6175695800 |
Fax Number: | 6175684780 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 167958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |