Individual provider · Type 1 NPI
Nicole Alyce Lesanto, PNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1306185046
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | NP95000968 (CA) |
| Pediatric Nurse Practitioner | 363LP0200X | NPP37735 (RI) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NPP95000968 (CA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2264257 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1306185046
Nicole Alyce Lesanto, PNP's National Provider Identifier is 1306185046, issued on Jan 31, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jul 18, 2017.