Provider Demographics
NPI:1528174323
Name:NEE, MAURA ANN (NP)
Entity type:Individual
Prefix:
First Name:MAURA
Middle Name:ANN
Last Name:NEE
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:1400 VFW PKWY
Mailing Address - Street 2:VA BOSTON HEALTHCARE SYSTEM/SCI SERVICE (128)
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-4927
Mailing Address - Country:US
Mailing Address - Phone:617-323-7700
Mailing Address - Fax:857-203-5553
Practice Address - Street 1:1400 VFW PKWY
Practice Address - Street 2:VA BOSTON HEALTHCARE SYSTEM/SCI SERVICE (128)
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-4927
Practice Address - Country:US
Practice Address - Phone:617-323-7700
Practice Address - Fax:857-203-5553
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA173696363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner