Individual
MS. CORNELIA B WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY ST, SHAPIRO 9 STE B, BOSTON, MA 02118-2526
(617) 638-7480
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2270205
MA
Other
Enumeration date
08/29/2012
Last updated
09/14/2018
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