Individual provider · Type 1 NPI
Kelsey Polikowski
Family Nurse Practitioner · Boston, MA
NPI number
1104600378
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
76 H St
South Boston, MA 02127-4408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN2288301 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN2288301 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104600378
Kelsey Polikowski's National Provider Identifier is 1104600378, issued on Aug 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Jan 31, 2024.