| NPI | 1063122935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY BASHIR Nurse Practitioner 781-666-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |