Individual
CAROL TYKSIENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-8082
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-8082
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
169308
MA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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