Individual
HOLLY BURRIS FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, WHNP-BC
Contact information
Practice address
130 BOYLSTON ST, SIDNEY BORUM HEALTH CENTER, BOSTON, MA 02116-4608
(617) 457-8140
Mailing address
130 BOYLSTON ST, SIDNEY BORUM HEALTH CENTER, BOSTON, MA 02116-4608
(617) 457-8140
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
226670
MA
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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