Individual
MRS. BRENDA ISABELLA WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
332 HANOVER ST, NEHC, BOSTON, MA 02113-1901
(617) 643-8163
Mailing address
332 HANOVER ST, NEHC, BOSTON, MA 02113-1901
(617) 643-8163
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
121171
MA
Other
Enumeration date
06/08/2006
Last updated
04/01/2008
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