National Provider Identifier
Laura Minnette Willard, PA
Laura Minnette Willard, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (617) 421-1000.
Source: public NPPES record, last updated June 17, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1861632143
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- February 26, 2009
- Last Updated
- June 17, 2019
Practice Location
- 133 Brookline Ave
- Boston, MA 02215
Phone: (617) 421-1000
Specialties
- Medical Physician Assistant (363AM0700X)
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Biography
Laura Minnette Willard, PA-C, is a pediatrics physician assistant in Boston. Her public professional profile lists physician assistant training at Samuel Merritt University and certification through the National Commission on Certification of Physician Assistants, and her practice location aligns with Atrius Health’s Boston Kenmore site, a long-established multispecialty practice that includes pediatrics.
Full Record
- NPI
- 1861632143
- Entity Type
- Individual
- Last Name
- Willard
- First Name
- Laura
- Middle Name
- Minnette
- Name Prefix
- Mrs.
- Credential
- PA
- Mailing Street Address
- 133 Brookline Ave
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02215
- Mailing Country
- US
- Mailing Phone
- (617) 421-1000
- Practice Street Address
- 133 Brookline Ave
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02215
- Practice Country
- US
- Practice Phone
- (617) 421-1000
- Enumeration Date
- February 26, 2009
- Last Updated
- June 17, 2019
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Medical Physician Assistant (363AM0700X)