Individual
EMMA RUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 726-2947
Mailing address
1 PARK WAY, HAVERHILL, MA 01830-6278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2358299
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2358299
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2023
Last updated
11/22/2024
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