Individual
DESIREE N OTENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1100
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271190
MA
363L00000X
Nurse Practitioner
Primary
271190
MA
Other
Enumeration date
06/06/2007
Last updated
01/08/2015
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