Individual
MS. MAXINE TUTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
555 AMORY ST, BOSTON, MA 02130-2652
(617) 524-1120
Mailing address
49 ROBINWOOD AVE, BOSTON, MA 02130-2156
(617) 524-1120
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
111186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851853
—
MA
Enumeration date
10/03/2008
Last updated
07/25/2012
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