Individual provider · Type 1 NPI

Calvin Tham, FNP-BC

Nurse Practitioner · Boston, MA

NPI number 1114641214 Active

Practice location

185 Pilgrim Rd
Boston, MA 02215-5324

Mailing address

452 Hanover St
Hanover, MA 02339-2217

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2300087 (MA)
Nurse Practitioner Primary 363L00000XRN2300087 (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 1114641214

Calvin Tham, FNP-BC's National Provider Identifier is 1114641214, issued on Oct 3, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Dec 13, 2022.