Doctor Name: | LAURA SCUDDER |
NPI Number: | 1144238346 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC PNP |
License Number: | 259347 |
Business Practice Address: | 577 Main Street Stoneham, MA - 02180 |
Business Phone Number: | 7814387330 |
Business Fax Number: | 7812794046 |
Mailing Address: | 223 Lexington Ave, CAMBRIDGE |
State: | MA |
Postal Code: | 02138 |
Phone Number: | 7814387330 |
Fax Number: | 7812794046 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 259347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |