Unknown Individual – Licensed Practical Nurse, NPI 1417025560
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1010, Massachusetts Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States
BOSTON, MA 02118
Phone: (617) 534-4212
Fax: (617) 534-4221
Type: Mailing
Northampton Square, 721;723;725;727;727, Massachusetts Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02118, United States
BOSTON, MA 02118
Phone: (617) 534-4212
Fax: (617) 534-4221
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02118)
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