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Individual

CASSANDRA ANTOINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 BOSTON MEDICAL CENTER, BOSTON, MA 02118
(617) 414-5245
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2324982
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2324982
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1994171100
MA
Enumeration date
06/28/2021
Last updated
04/01/2025
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