Individual
DR. ALEXANDRA LEIGH DIFULVIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 278-1000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN10006350
MA
Other
Enumeration date
06/27/2022
Last updated
08/07/2024
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