Individual
MRS. CORRINA MARIE KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11 MELNEA CASS BLVD, BOSTON, MA 02119-4401
(617) 414-2080
(617) 414-2090
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
69346
ME
363LF0000X
Family Nurse Practitioner
201427
ME
363LF0000X
Family Nurse Practitioner
Primary
RN2302477
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110193152A
—
MA
05
—
3139117
—
NH
Enumeration date
10/07/2020
Last updated
06/09/2023
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