Individual
ANNE KOFKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 BEACON ST, CHA - HOUSE CALLS PROGRAM, SOMERVILLE, MA 02143-4370
(617) 499-8358
Mailing address
120 BEACON ST, CHA - HOUSE CALLS PROGRAM, SOMERVILLE, MA 02143-4370
(617) 499-8358
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
176314
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4014
BCBS MA
MA
Enumeration date
04/18/2007
Last updated
02/29/2012
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