Individual
PRACHI SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2390315
MA
363L00000X
Nurse Practitioner
Primary
RN2390315
MA
Other
Enumeration date
04/18/2024
Last updated
11/21/2024
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