Individual
SAMANTHA MASON BRANDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2859
Mailing address
1 EMERSON PL APT 11N, BOSTON, MA 02114-2211
(832) 596-6620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119047
NC
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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