Individual
NAGMA KC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
625 MOUNT AUBURN ST STE 104, CAMBRIDGE, MA 02138-4518
(617) 491-5586
Mailing address
330 MOUNT AUBURN ST, PARSONS 2, CAMBRIDGE, MA 02138-5597
(617) 499-5083
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN271526
MA
363LF0000X
Family Nurse Practitioner
Primary
RN271526
MA
363LP2300X
Primary Care Nurse Practitioner
RN271526
MA
Other
Enumeration date
11/18/2016
Last updated
07/25/2024
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