Individual
NITHYA PRABHALA WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
5 WORCESTER RD, SHARON, MA 02067-2614
(781) 308-8010
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2377000
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2377000
MA
Other
Enumeration date
03/30/2023
Last updated
04/07/2024
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