Individual
GERTRUDE ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(857) 215-5213
Mailing address
38 SUNNYSIDE ST, HYDE PARK, MA 02136-1649
(617) 645-8584
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
183738
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183738
STATE BOARD
MA
Enumeration date
08/25/2020
Last updated
08/25/2020
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