Individual
ESI KORSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 SYDNEY CIR, CHARLTON, MA 01507-1728
(774) 277-2512
Mailing address
3 SYDNEY CIR, CHARLTON, MA 01507-1728
(774) 277-2512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN264816
MA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN264816
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN264816
MA
Other
Enumeration date
04/17/2019
Last updated
08/02/2023
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