Individual provider · Type 1 NPI
Reava Khristenko, NP
Nurse Practitioner · Boston, MA
Practice location
150 S Huntington Ave
Boston, MA 02130-4817
Mailing address
193 South St
Chestnut Hill, MA 02467-3630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | RN2306581 (MA) |
| Procedural Dermatology Physician | 207NS0135X | RN2306581 (MA) |
| Nurse Practitioner Primary | 363L00000X | RN2306581 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1093229379
Reava Khristenko, NP's National Provider Identifier is 1093229379, issued on Nov 25, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Nov 25, 2017.