Individual
MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
333 LONGWOOD AVE STE 650, BOSTON, MA 02115-5711
(617) 355-8202
Mailing address
333 LONGWOOD AVE STE 650, BOSTON, MA 02115-5711
(617) 355-8202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2286142
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2286142
MA
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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