Valena, Myra Lisa

Valena, Myra Lisa is an sole proprietor health care provider with primary practice located at 330 Brookline Ave Ks206, Boston MA 02215-5400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Valena, Myra Lisa can be contacted via phone (617) 667-2949.

Contact Information

Primary practice address
330 Brookline Ave Ks206 Boston MA 02215-5400
Phone: (617) 667-2949
Fax: (617) 975-5207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 237652 Massachusetts

Profile Details

NPI number 1548362767
LBN Legal business name Valena, Myra Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548362767 NPPES
Massachusetts MEDICAID 0703796

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