Individual
JULIE E MOSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
75 1ST ST, MEDFORD, MA 02155-5015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2311896
MA
363LF0000X
Family Nurse Practitioner
RN2311896
MA
Other
Enumeration date
01/14/2019
Last updated
12/11/2020
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