Avila-Wallace, Maria S.

Avila-Wallace, Maria S. is an individual health care provider with primary practice located at 55 Fruit St Yawkey Center 9E, Boston MA 02114-2621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Avila-Wallace, Maria S. can be contacted via phone (617) 724-4800.

Contact Information

Primary practice address
55 Fruit St Yawkey Center 9E Boston MA 02114-2621
Phone: (617) 724-4800
Fax: (617) 724-6898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 206032 Massachusetts

Profile Details

NPI number 1649460866
LBN Legal business name Avila-Wallace, Maria S.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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