Individual provider · Type 1 NPI
Annemarie Quealy Fayemi, PNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1104224633
Active
Practice location
300 Longwood Ave, Department Of General Surgery Fegan 3
Boston, MA 02115-5724
Fax (617) 730-0477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 194792 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104224633
Annemarie Quealy Fayemi, PNP's National Provider Identifier is 1104224633, issued on Dec 16, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Dec 16, 2014.