Individual provider · Type 1 NPI
Julie Penterson, NP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1184724205
Active
Practice location
725 Albany Street, Shapiro 8
Boston, MA 02118
Fax (617) 414-4502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 262192 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1184724205
Julie Penterson, NP's National Provider Identifier is 1184724205, issued on Sep 25, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Sep 10, 2018.