Individual
EMMA MINTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
319 ALLSTON ST STE B, BRIGHTON, MA 02135-7664
(617) 734-1300
Mailing address
319 ALLSTON ST STE B, BRIGHTON, MA 02135-7664
(617) 734-1300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
268359
MA
Other
Enumeration date
10/16/2008
Last updated
04/10/2013
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