Whalio Doctors

NPI 1134140395

Debra R. Severo, RNCS

Practitioner Psychiatric/Mental Health Registered Nurse Medford, MA

Practice location

Address
26 City Hall Mall, Medford, MA 02155-4754
Phone
(781) 306-5463
Mailing address
147 Milk St Provider Enrollment 9th Floor, Boston, MA 02109-4806

Registered specialties

Psychiatric/Mental Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0808X Licence 136533 (MA)

Registry record

NPI
1134140395
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jul 2006
Record last updated
1 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.