Individual
ALBERTA KOOSONO ADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
303 WYMAN ST STE 300, WALTHAM, MA 02451-1255
(774) 354-8183
(617) 915-8935
Mailing address
303 WYMAN ST STE 300, WALTHAM, MA 02451-1255
(774) 354-8183
(617) 915-8935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2344956
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2344956
MA
Other
Enumeration date
10/27/2021
Last updated
06/17/2024
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