Individual provider · Type 1 NPI
Alona Rotkovitch, NP
Adult Health Nurse Practitioner · Braintree, MA
NPI number
1023079258
Active
Practice location
111 Grossman Dr
Braintree, MA 02184-4997
Mailing address
147 Milk St, Provider Enrollment - 9th Floor
Boston, MA 02109-4806
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 130542 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 130542 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1023079258
Alona Rotkovitch, NP's National Provider Identifier is 1023079258, issued on Mar 29, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Braintree, MA. The record was last updated on Jun 20, 2019.