Healthcare Provider Details

I. General information

NPI: 1740115294
Provider Name (Legal Business Name): GENEVA MCLAUGHLIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 P ST UNIT 5
BOSTON MA
02127-2475
US

IV. Provider business mailing address

37 P ST UNIT 5
BOSTON MA
02127-2475
US

V. Phone/Fax

Practice location:
  • Phone: 508-380-7613
  • Fax:
Mailing address:
  • Phone: 508-380-7613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9520460
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: