Individual
SISILIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
830 HARRISON AVE FL 3, BOSTON, MA 02118-2905
(617) 638-6428
(617) 638-5756
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2263665
MA
363LG0600X
Gerontology Nurse Practitioner
RN2263665
MA
Other
Enumeration date
08/06/2025
Last updated
02/11/2026
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