Individual
MISS BEATIE ULTIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
185 PILGRIM RD, BOSTON, MA 02215-5324
(617) 632-7000
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2287364
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2287364
MA
Other
Enumeration date
10/09/2018
Last updated
03/21/2022
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