Individual
HOLLY WISE KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 KENDALL ST APT 1506, CAMBRIDGE, MA 02142-1184
(203) 940-0951
Mailing address
250 KENDALL ST APT 1506, CAMBRIDGE, MA 02142-1184
(203) 940-0951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2359611
MA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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