Individual
THAMARAH M CREVECOEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
850 HARRISON AVE, YAWKEY 4TH FLOOR, BOSTON, MA 02118-4001
(617) 414-2000
(617) 414-5798
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN285361
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722782
—
MA
05
—
110081360A
—
MA
Enumeration date
12/23/2008
Last updated
01/22/2024
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