Individual
ALICE M HUSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 HANCOCK ST., QUINCY, MA 02169
(617) 387-2220
Mailing address
1250 HANCOCK ST., QUINCY, MA 02169
(617) 387-2220
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN280970
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN280970
MA
Other
Enumeration date
05/28/2009
Last updated
01/03/2014
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