Individual
EMMA LOUISE FUSCO LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
1857 BEACON ST, BROOKLINE, MA 02445-4295
(413) 835-1215
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN2308836
MA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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