Individual
GRACE ANNE CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-1495
(617) 730-4669
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-1495
(617) 730-4669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2327682
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2327682
MA
Other
Enumeration date
03/07/2021
Last updated
05/11/2023
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