Individual
COURTNEY JOACHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
381 CONGRESS ST UNIT 301, BOSTON, MA 02210-1853
(978) 460-4607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2293515
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2293515
MA
Other
Enumeration date
08/11/2020
Last updated
02/16/2022
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