Individual provider · Type 1 NPI
Maria S. Avila-Wallace, N.P.
Women's Health Nurse Practitioner · Boston, MA
NPI number
1649460866
Active
Practice location
55 Fruit St, Yawkey Center 9E
Boston, MA 02114-2621
Fax (617) 724-6898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 206032 (MA) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1649460866
Maria S. Avila-Wallace, N.P.'s National Provider Identifier is 1649460866, issued on Jul 25, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Boston, MA. The record was last updated on Jul 25, 2007.