Individual
ANDY LOUIS JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-BC
Contact information
Practice address
215 ALEWIFE BROOK PKWY, CAMBRIDGE, MA 02138-1101
(617) 661-6422
Mailing address
215 ALEWIFE BROOK PKWY, CAMBRIDGE, MA 02138-1101
(617) 661-6422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2316574
MA
363LF0000X
Family Nurse Practitioner
Primary
9385203
FL
Other
Enumeration date
04/12/2016
Last updated
09/03/2021
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