Individual
NICOLE ANNE DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
330 BROOKLINE AVE, STONEMAN 10, BOSTON, MA 02215-5400
(617) 667-3940
Mailing address
330 BROOKLINE AVE, STONEMAN 10, BOSTON, MA 02215-5400
(617) 667-3940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
236640
MA
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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