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Search › Massachusetts › 363LA2200X

Nicole Carville-Autry, N.P

NPI 1427239912 · on the registry since 2007

Practice

Address
30 Northampton St
Boston, MA 02118
Phone
(617) 433-9601
Fax
(617) 445-6538
Organisation at this address
Commonwealth Community Care
Commonwealth Clinical Alliance, Inc
Boston'S Community Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363LA2200X
363LG0600X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts