Provider Demographics
NPI:1548916604
Name:NEUMANN, POLYANNA SILVA (APRN)
Entity type:Individual
Prefix:
First Name:POLYANNA
Middle Name:SILVA
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-4605
Mailing Address - Country:US
Mailing Address - Phone:617-751-5520
Mailing Address - Fax:617-383-6452
Practice Address - Street 1:226 HARVARD AVE
Practice Address - Street 2:#3
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-4605
Practice Address - Country:US
Practice Address - Phone:617-751-5520
Practice Address - Fax:617-383-6452
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN277264363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner