Individual
THERESA MONICA BUCAO DEANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
(617) 232-9500
Mailing address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
(617) 232-9500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN2331716
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2331716
MA
Other
Enumeration date
01/05/2023
Last updated
05/01/2023
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