Individual
LINDA THACH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2045
(617) 779-6760
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2296382
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110204120B
—
MA
Enumeration date
11/17/2021
Last updated
03/12/2025
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