Individual
ALICE ANNE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 6A, BOSTON, MA 02118-2605
(617) 414-5951
(617) 414-9201
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
(617) 414-5405
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2325940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110146421A
—
MA
Enumeration date
07/08/2017
Last updated
05/14/2019
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