Organization · Type 2 NPI
Intentional Wellness Medspa LLC
Family Nurse Practitioner · Burlington, MA
NPI number
1154088052
Active
Practice location
99 Cambridge St
Burlington, MA 01803-4115
Mailing address
3 Angela Cir
Burlington, MA 01803-3102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1154088052
Intentional Wellness Medspa LLC's National Provider Identifier is 1154088052, issued on Nov 26, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burlington, MA. The record was last updated on Feb 9, 2025.