MEDICARE: ALLA URMAN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	00000	MA

General Provider Information

NPI Number	:	1629254263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLA URMAN NP

Provider Business Mailing Address
First Line	:	91 STILES RD
Second Line	:
City	:	SALEM
State	:	NH
Zip	:	03079-2846
Country	:	US
Telephone Number	:	603-893-9784
Fax Number	:	603-893-8886

Provider Business Practice Location Address
First Line	:	1274 HYDE PARK AVE
Second Line	:
City	:	HYDE PARK
State	:	MA
Zip	:	02136
Country	:	US
Telephone Number	:	781-449-5155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	01/14/2008

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