| NPI | 1376350769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA RENEE HARRISON Family Nurse Practitioner 617-417-9275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |