Individual
KELLEY SULLIVAN BALESTRACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7737
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN260058
MA
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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