Individual provider · Type 1 NPI
Mahala ST Paul, NP
Nurse Practitioner · Boston, MA
Practice location
450 Brookline Ave
Boston, MA 02215-5418
Mailing address
24 Rill St
Dorchester, MA 02125-2116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN2293353 (MA) |
| Gerontology Nurse Practitioner | 363LG0600X | RN2293353 (MA) |
| Primary Care Nurse Practitioner | 363LP2300X | RN2293353 (MA) |
| Nurse Practitioner Primary | 363L00000X | RN2293353 (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 1174126601
Mahala ST Paul, NP's National Provider Identifier is 1174126601, issued on Nov 18, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Nov 18, 2020.