Healthcare Provider Details

I. General information

NPI: 1881529261
Provider Name (Legal Business Name): MARIA D MERINO VENTURA
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

192 HANCOCK ST
EVERETT MA
02149-1334
US

IV. Provider business mailing address

192 HANCOCK ST
EVERETT MA
02149-1334
US

V. Phone/Fax

Practice location:
  • Phone: 781-428-6058
  • Fax:
Mailing address:
  • Phone: 781-428-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberCNA1000956
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: