Individual
BRENDA MACPHERSON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
55 FRUIT STREET, ELLISON 219, BOSTON, MA 02114-0182
(617) 724-4289
Mailing address
9 MCFARLIN RD, CHELMSFORD, MA 01824-2803
(617) 640-2133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN195628
MA
363LF0000X
Family Nurse Practitioner
RN195628
MA
Other
Enumeration date
09/23/2014
Last updated
07/05/2019
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