Healthcare Provider Details

I. General information

NPI: 1720007255
Provider Name (Legal Business Name): MARIA FRANCESCONI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 04/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 MOUNT AUBURN ST HARVARD UNIVERSITY HEALTH SERVICE
CAMBRIDGE MA
02138-4960
US

IV. Provider business mailing address

75 MOUNT AUBURN ST
CAMBRIDGE MA
02138-4960
US

V. Phone/Fax

Practice location:
  • Phone: 617-496-8700
  • Fax: 617-495-6059
Mailing address:
  • Phone: 617-496-5804
  • Fax: 617-495-8078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201252
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: