Healthcare Provider Details

I. General information

NPI: 1871560367
Provider Name (Legal Business Name): DAWN A NAYLOR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN A SCHLITTER

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 02/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 ALBANY ST SHAPIRO 9 STE B
BOSTON MA
02118-2526
US

IV. Provider business mailing address

720 HARRISON AVE DOB 503
BOSTON MA
02118-2371
US

V. Phone/Fax

Practice location:
  • Phone: 617-638-7480
  • Fax: 617-638-7486
Mailing address:
  • Phone: 617-414-5405
  • Fax: 617-414-6031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number252195
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: