Basic Information
Provider Information
NPI: 1932727930
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABORN
FirstName: JULIET
MiddleName: HOSS
NamePrefix:  
NameSuffix:  
Credential: REGISTERED NURSE
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8 KNOWLTON DR
Address2:  
City: ACTON
State: MA
PostalCode: 017202918
CountryCode: US
TelephoneNumber: 6178775160
FaxNumber:  
Practice Location
Address1: 41 MALL RD
Address2:  
City: BURLINGTON
State: MA
PostalCode: 018053800
CountryCode: US
TelephoneNumber: 7817448000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2020
LastUpdateDate: 10/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN2259383MAN Nursing Service ProvidersRegistered Nurse 
367500000XRN2259383MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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