Individual
JULIE P THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Contact information
Practice address
850 HARRISON AVENUE, FL 4, YAWKEY BLDG, BOSTON, MA 02118
(617) 414-2000
(617) 414-5798
Mailing address
960 MASSACHUSETTS AVE, FL2, BOSTON, MA 02118-3791
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
RN2306615
MA
367A00000X
Advanced Practice Midwife
Primary
RN2306615
MA
Other
Enumeration date
01/24/2019
Last updated
04/10/2024
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