Individual
COURTNEY FAIELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BCN-FNP
Contact information
Practice address
732 HARRISON AVENUE, PRESTON, 3RD FLOOR, BOSTON, MA 02118-2309
(617) 638-7490
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2277460
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2277460
MA
Other
Enumeration date
07/15/2019
Last updated
10/29/2019
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