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Individual

SANA MUQQADUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118-0211
(508) 408-9200
Mailing address
960 MASSACHUSETTS AVE., FL 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2307082
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110128865A
MA
Enumeration date
09/22/2017
Last updated
12/18/2023
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