Individual
ALYSSA JEANNE KUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 FRANCIS ST, BOSTON, MA 02215-5501
(617) 632-9700
Mailing address
110 FRANCIS ST, BOSTON, MA 02215-5501
(617) 632-9700
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2306653
MA
363L00000X
Nurse Practitioner
Primary
RN2306653
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2020
Last updated
11/26/2020
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