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Individual

IAN POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-7000
Mailing address
3 SOUTH ST APT 1, MARLBOROUGH, MA 01752-3959
(781) 439-8545

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2346956
MA

Other

Enumeration date
11/10/2022
Last updated
11/10/2022
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