Individual
AIREN B BRICENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(617) 461-8781
Mailing address
254 LYNNWAY APT 314, LYNN, MA 01901-1848
(617) 461-8781
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2314047
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2314047
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
N/A
—
Enumeration date
07/18/2022
Last updated
11/04/2024
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