Individual
MISS EMILY COURNOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-8456
(617) 638-8465
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN2308457
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2308457
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2308457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110157325A
—
MA
Enumeration date
08/26/2019
Last updated
11/22/2024
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