Individual
MISS LESLIE ANN BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(978) 882-6885
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN285052
MA
363LA2100X
Acute Care Nurse Practitioner
057939-23
NH
363LA2100X
Acute Care Nurse Practitioner
RN285052
MA
Other
Enumeration date
10/25/2012
Last updated
03/14/2023
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