Individual
RAINA BASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
68 BROOKDALE RD, SUDBURY, MA 01776-3145
(908) 745-1032
Mailing address
68 BROOKDALE RD, SUDBURY, MA 01776-3145
(908) 745-1032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2302912
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2302912
MA
Other
Enumeration date
08/15/2023
Last updated
10/31/2023
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