Individual
BRENDA LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, JACKSON BUILDING RM 121, BOSTON, MA 02114-2621
(617) 724-1851
(617) 726-4489
Mailing address
203 CENTRAL ST, NORWELL, MA 02061-1301
(781) 659-4992
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
173846
MA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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