Individual
DARKOVNA WIDLINE JUSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
100 HANCOCK ST FL 9, QUINCY, MA 02171-1745
(598) 927-1176
Mailing address
100 HANCOCK ST, QUINCY, MA 02171-1745
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2335752
MA
Other
Enumeration date
02/06/2024
Last updated
08/08/2024
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