Individual
MS. FOTINI MITSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
330 BROOKLINE AVE DEPT OF, BOSTON, MA 02215-5491
(617) 667-3110
Mailing address
330 BROOKLINE AVE DEPT OF, BOSTON, MA 02215-5491
(617) 667-3110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2277725
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2277725
MA
Other
Enumeration date
06/09/2017
Last updated
09/18/2019
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