Individual
MISS DECIMA T PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-8281
Mailing address
231 HIGHLAND ST APT 3, ROXBURY, MA 02119-1486
(857) 492-6882
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN274422
MA
363LF0000X
Family Nurse Practitioner
Primary
RN274422
MA
Other
Enumeration date
03/18/2020
Last updated
11/01/2023
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