Provider Demographics
NPI:1871902635
Name:GUSIORA, LINDSY MARY (AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:LINDSY
Middle Name:MARY
Last Name:GUSIORA
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:LINDSY
Other - Middle Name:MARY
Other - Last Name:DEGABRIELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 BROOKLINE PLACE
Mailing Address - Street 2:ARNOLD WARFIELD PAIN CLINIC, SUITE 105
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:616-278-8000
Mailing Address - Fax:616-278-8065
Practice Address - Street 1:1 BROOKLINE AVE STE 105
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3421
Practice Address - Country:US
Practice Address - Phone:616-278-8000
Practice Address - Fax:616-278-8065
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2284815363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
RINP37014OtherLICENSE
MARN2284815OtherMA BOARD OF NURSING