Individual
MS. CODY AURORA DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
33 WINTER ST, WESTON, MA 02493-2611
(508) 655-8118
Mailing address
28 QUEENSBERRY ST, APT 15, BOSTON, MA 02215-5258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2299548
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2299548
MA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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