Individual
MS. KAYLA FAY GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-1465
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-1465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2274297
MA
363LP0200X
Pediatric Nurse Practitioner
070772-23
NH
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2274297
MA
Other
Enumeration date
09/28/2012
Last updated
05/04/2017
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