Individual
MS. DEANNE WIMSATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
409 W BROADWAY, BOSTON, MA 02127-2245
(617) 464-7580
Mailing address
409 W BROADWAY, BOSTON, MA 02127-2245
(617) 464-7580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2288319
MA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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