IndividualActive
Olivia Polise
NPI 1003517046 · Neonatal Nurse Practitioner · Boston, MA
Provider details
- NPI number
- 1003517046
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- CNP231089 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
Approximate (ZIP-level) locationGet directions
Mailing address
300 Longwood Ave
Boston, MA 02115-5724
Registry dates
- Enumerated
- 2023-03-16
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.