Individual
DARLINE JUSTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
Mailing address
960 MASSACHUSETTS AVE, FL 2., BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN2327588
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2327588
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110190199A
—
MA
Enumeration date
07/29/2021
Last updated
12/18/2023
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