Organization
FRONTLINE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIXON CORNAY NP (PSYCHIATRIC NURSE PRACTITIONER)
(917) 587-1341
Entity
Organization
Contact information
Practice address
1 W FOSTER ST STE 11, MELROSE, MA 02176-3879
(917) 587-1341
Mailing address
1 W FOSTER ST STE 11, MELROSE, MA 02176-3879
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
07/06/2021
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