Individual
ALEXANDRA SEIFOLLAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, RN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-3940
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2300644
MA
363L00000X
Nurse Practitioner
Primary
2300644
MA
Other
Enumeration date
12/05/2018
Last updated
12/06/2018
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