Individual
MS. ROBERTA ANN FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215
(617) 667-9600
Mailing address
11LANCASTER RD, NEWTON, MA 02458
(617) 964-1687
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
150040
MA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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