Audrey Rose AG-ACNP

NPI 1417378449 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1417378449
Gender Female
Enumeration Date 12/17/2013
Last Updated 12/17/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
1418 BOSTON PROVIDENCE TPKE
NORWOOD MA, 02062-4655, US
Phone (781) 440-9911
Fax
Business Location
1418 BOSTON PROVIDENCE TPKE
NORWOOD MA, 02062-4655, US
Phone (781) 440-9911
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Massachusetts
License Number RN2260692
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According to our database, Mrs. Audrey Rose AG-ACNP NPI is 1417378449, taxonomy code is 363LA2100X and license number is RN2260692, license state is located at Massachusetts. Audrey Rose AG-ACNP physically located at 1418 Boston Providence Tpke, Norwood MA, 02062-4655. NPI Number Audrey Rose AG-ACNP has the Individual type.

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1417378449 NPI number is provided on an as is basis without warranty of any kind. 1417378449 is maintained by the National Plan & Provider Enumeration System. The contents of Audrey Rose AG-ACNP are for informational purposes only.