Individual
LUCETTE TEIXEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
30 NORTHAMPTON ST, BOSTON, MA 02118-4098
(617) 445-6538
Mailing address
30 NORTHAMPTON ST, BOSTON, MA 02118-4098
(617) 445-6538
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2270169
MA
Other
Enumeration date
06/08/2021
Last updated
04/21/2022
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