Individual
BRIAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
529 MAIN ST, SUITE 216, CHARLESTOWN, MA 02129-1125
(617) 426-0600
Mailing address
529 MAIN ST, SUITE 216, CHARLESTOWN, MA 02129-1125
(617) 426-0600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2291839
MA
363L00000X
Nurse Practitioner
Primary
RN2291839
MA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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