Individual
SHUSHANIK YEGOYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
379 CAMBRIDGE ST, BURLINGTON, MA 01803-2045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2302281
MA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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