Individual
ALICIA KATHLEEN BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
110 FRANCIS ST STE 5A, BOSTON, MA 02215-5566
(617) 632-7827
(617) 632-7840
Mailing address
110 FRANCIS ST STE 5A, BOSTON, MA 02215-5566
(617) 632-7827
(617) 632-7840
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2304432
MA
Other
Enumeration date
10/24/2018
Last updated
04/04/2019
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