Individual
XIUHUAN YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 6C, BOSTON, MA 02118-2605
(617) 414-5951
(617) 414-9201
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN245912
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110079002A
—
MA
Enumeration date
02/13/2008
Last updated
05/09/2019
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