Individual
CYNTHIA A. MOMPREMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 529-2869
Mailing address
67 JOHNSON DR, RANDOLPH, MA 02368-1818
(617) 529-2869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05210048
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F05210048
—
MA
Enumeration date
01/11/2022
Last updated
01/11/2022
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