Individual
JULIA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY ST, SHAPIRO 5, SUITE A, BOSTON, MA 02118-2526
(617) 638-7428
(617) 638-7472
Mailing address
720 HARRISON AVE, DOB 5, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2258704
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092321A
—
MA
Enumeration date
03/23/2012
Last updated
04/10/2014
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