Individual
KIRA MARIE ENLOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
225 FRIEND ST STE 800, BOSTON, MA 02114-1834
(781) 551-0999
Mailing address
185 DEVONSHIRE ST STE 901, BOSTON, MA 02110-1485
(781) 551-0999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2359040
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2359040
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2023
Last updated
07/31/2023
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