Individual
ROSA TERRANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-6464
(617) 632-6136
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-6464
(617) 632-6136
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2383321
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207927901
—
TX
Enumeration date
06/24/2008
Last updated
09/19/2023
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