Individual
MR. PRAVIN KESARI PANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(855) 644-6387
Mailing address
9 HAWTHORNE PL, APT 3L, BOSTON, MA 02114-2344
(617) 642-1700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2292188
MA
363L00000X
Nurse Practitioner
Primary
RN2292188
MA
363LA2200X
Adult Health Nurse Practitioner
RN2292188
MA
363LG0600X
Gerontology Nurse Practitioner
RN2292188
MA
Other
Enumeration date
10/16/2016
Last updated
10/05/2021
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