Provider Demographics
NPI:1427266485
Name:MCLAUGHLIN, SIOBAN A (NP)
Entity type:Individual
Prefix:MS
First Name:SIOBAN
Middle Name:A
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:415 SOUTH ST
Mailing Address - Street 2:MS 034
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02454-9110
Mailing Address - Country:US
Mailing Address - Phone:781-736-3677
Mailing Address - Fax:781-736-3675
Practice Address - Street 1:415 SOUTH ST
Practice Address - Street 2:MS 034
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02454-9110
Practice Address - Country:US
Practice Address - Phone:781-736-3677
Practice Address - Fax:781-736-3675
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA152534363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health