Individual
FARAH FALDONIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
885 WASHINGTON ST, BOSTON, MA 02111-1416
(617) 635-8497
Mailing address
1575 BLUE HILL AVE, MATTAPAN, MA 02126-2122
(617) 296-0061
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN2269209
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2269209
MA
Other
Enumeration date
07/26/2012
Last updated
08/13/2021
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