Provider Demographics
NPI:1376529842
Name:ARVEDON, MARJORIE CUMMINGS (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:CUMMINGS
Last Name:ARVEDON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:MARJORIE
Other - Middle Name:CUMMINGS
Other - Last Name:ARVEDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:81 FAIRWAY LN
Mailing Address - Street 2:
Mailing Address - City:FOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2737
Mailing Address - Country:US
Mailing Address - Phone:617-414-2274
Mailing Address - Fax:617-414-2285
Practice Address - Street 1:ONE BOSTON MEDICAL CENTER PLACE
Practice Address - Street 2:BOSTON MEDICAL CENTER, YAWKEY ACC-4, MED-SURG SPECIALT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2999
Practice Address - Country:US
Practice Address - Phone:617-414-2274
Practice Address - Fax:617-414-2285
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA150276363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily