Provider Demographics
NPI:1730446634
Name:SAYLOR, MEREDITH LARKIN (NP)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:LARKIN
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:ROSE
Other - Last Name:LARKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:0 EMERSON PL STE 118
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2241
Mailing Address - Country:US
Mailing Address - Phone:617-724-1124
Mailing Address - Fax:
Practice Address - Street 1:0 EMERSON PL STE 118
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2241
Practice Address - Country:US
Practice Address - Phone:617-724-1124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2276196363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily