Shalisha Kimberly Crouch NP

NPI 1487898904 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1487898904
Gender Female
Enumeration Date 04/28/2009
Last Updated 10/16/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
850 HARRISON AVE
BOSTON MA, 02118-4001, US
Phone (617) 414-5245
Fax (617) 638-6836
Business Location
720 HARRISON AVE
DOB 503
BOSTON MA, 02118, US
Phone
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Massachusetts
License Number RN280992
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According to our database, Shalisha Kimberly Crouch NP NPI is 1487898904, taxonomy code is 363LP0808X and license number is RN280992, license state is located at Massachusetts. Shalisha Kimberly Crouch NP physically located at 850 Harrison Ave, Boston MA, 02118-4001. NPI Number Shalisha Kimberly Crouch NP has the Individual type.

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1487898904 NPI number is provided on an as is basis without warranty of any kind. 1487898904 is maintained by the National Plan & Provider Enumeration System. The contents of Shalisha Kimberly Crouch NP are for informational purposes only.