Individual
MRS. TAMIKA YVETTE WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
637 WASHINGTON ST, BOSTON, MA 02124-3510
(617) 825-9660
Mailing address
637 WASHINGTON ST, BOSTON, MA 02124-3510
(617) 825-9660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2313970
MA
Other
Enumeration date
10/30/2012
Last updated
05/01/2024
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