| Laura Ellen Distefano, CRNA | |
|
300 Longwood Ave, Boston, MA 02115-5724 | |
| (617) 355-6000 | |
| Not Available |
| Full Name | Laura Ellen Distefano |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 300 Longwood Ave, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568982239 | NPI | - | NPPES |
| RN2260431 | Other | MA | MA NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN2260431 (Massachusetts) | Primary |
| Entity Name | Chmc Anesthesia Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831268754 PECOS PAC ID: 0446155568 Enrollment ID: O20031203000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Ellen Distefano, CRNA 300 Longwood Ave, Boston, MA 02115-5724 Ph: () - | Laura Ellen Distefano, CRNA 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 |
Mr. John Crawford Welch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Bader 3- Anesthesia, Boston, MA 02115 Phone: 857-218-5770 | |
Sophia N. Townsend, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966 | |
Lorrie-jeanne Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Dept. Of Anesthesia, Boston, MA 02215 Phone: 617-667-3110 Fax: 617-667-5013 | |
Colleen Mcartor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 Washington St, Nemc Box #7105, Boston, MA 02111 Phone: 617-636-5000 | |
Ms. Ann Marie Nichols-stout, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8995 | |
Susan Maher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit Street, Cln 309 Mgh Anesthesia Associates, Boston, MA 02114 Phone: 617-726-3030 | |
Amy T. Moor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966 |