Individual
ALEXANDRA ROSE TISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4260
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(781) 690-3803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2267265
MA
Other
Enumeration date
08/24/2017
Last updated
04/15/2022
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