Individual provider · Type 1 NPI
Bryar Hasenjaeger
Primary Care Nurse Practitioner · Boston, MA
NPI number
1023628468
Active
Practice location
330 Brookline Ave
Boston, MA 02215-5400
Mailing address
27 Pinnacle Dr
East Walpole, MA 02032-1152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN235830 (MA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1023628468
Bryar Hasenjaeger's National Provider Identifier is 1023628468, issued on Jul 31, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boston, MA. The record was last updated on Nov 27, 2023.