Individual
NYLA HASHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
850 BOYLSTON ST, CHESTNUT HILL, MA 02467-2477
(617) 732-9850
Mailing address
62 13TH ST STE 102, CHARLESTOWN, MA 02129-2056
(617) 724-3539
(617) 724-3539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
64834
NM
363LF0000X
Family Nurse Practitioner
345144
NY
363LF0000X
Family Nurse Practitioner
Primary
RN10014643
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
10/21/2019
Last updated
11/11/2024
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