Individual
BRENDA LEE SILVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN147568
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN147568
MA
Other
Enumeration date
04/10/2012
Last updated
03/02/2017
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