Individual
DONNA B. KELLEHER-YASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCRN, FNP-C
Contact information
Practice address
732 HARRISON AVE, PRESTON, 2ND FLOOR, BOSTON, MA 02118-2309
(617) 638-7470
(617) 638-7449
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN237160
MA
363LF0000X
Family Nurse Practitioner
Primary
RN237160
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089218A
—
MA
Enumeration date
04/04/2011
Last updated
06/11/2014
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