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Search › Massachusetts › 363A00000X

Mikayla Van Dervoort, PA-C

NPI 1649014614 · on the registry since 2024 · sole proprietor

Practice

Address
180 Main St
Saugus, MA 01906
Phone
(339) 674-0978
Fax
(339) 574-0914
Organisation at this address
Convenientmd Llc
Convenientmd - Ffs Uc Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Female
Record last updated
2024-09-16

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