Healthcare Provider Details

I. General information

NPI: 1033554803
Provider Name (Legal Business Name): JAIME LAUREN DASILVA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE LAUREN SENNOTT NP

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MALL RD LAHEY CLINIC
BURLINGTON MA
01805-0001
US

IV. Provider business mailing address

41 MALL RD LAHEY CLINIC
BURLINGTON MA
01805-0001
US

V. Phone/Fax

Practice location:
  • Phone: 781-744-8000
  • Fax: 781-744-5351
Mailing address:
  • Phone: 781-744-8000
  • Fax: 781-744-5351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2270505
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: