Individual
PRIYA MARIE HIPPOLYTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 GRANITE AVE STE 260, MILTON, MA 02186-4381
(617) 369-7136
(617) 369-7136
Mailing address
2 GRANITE AVE STE 260, MILTON, MA 02186-4381
(617) 369-7136
(617) 369-7136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2287823
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124592324
NPI
MA
Enumeration date
01/22/2019
Last updated
01/30/2024
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