Individual
THAIS BITENCOURT ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-5937
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2269373
MA
363LP2300X
Primary Care Nurse Practitioner
RN2269373
MA
Other
Enumeration date
10/27/2019
Last updated
04/23/2024
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