Individual provider · Type 1 NPI
Kristin Farrell Wason
Gerontology Nurse Practitioner · Boston, MA
NPI number
1366980302
Active
Practice location
725 Albany St, General Internal Medicine
Boston, MA 02118-2526
Fax (617) 414-9157
Mailing address
801 Massachusetts Ave, Second Floor, Suite 2027D
Boston, MA 02118-2605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | RN2262692 (MA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN2262692 (MA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1366980302
Kristin Farrell Wason's National Provider Identifier is 1366980302, issued on Feb 10, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boston, MA. The record was last updated on Sep 28, 2017.