Provider Demographics
NPI:1427309905
Name:DOBROWSKY, MAUREEN DWYER (FNP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:DWYER
Last Name:DOBROWSKY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:KANE
Other - Last Name:DWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:77 MASSACHUSETTS AVE
Mailing Address - Street 2:E23
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4301
Mailing Address - Country:US
Mailing Address - Phone:617-253-4188
Mailing Address - Fax:617-253-6558
Practice Address - Street 1:25 CARLETON ST
Practice Address - Street 2:E23
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1323
Practice Address - Country:US
Practice Address - Phone:617-253-4188
Practice Address - Fax:617-253-6558
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2268709363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily