Individual provider · Type 1 NPI
Christina M. Defusco, NP
Adult Health Nurse Practitioner · Boston, MA
NPI number
1396067401
Active
Practice location
725 Albany Street, Shapiro 7, Suite B
Boston, MA 02118
Fax (617) 638-8465
Mailing address
720 Harrison Ave, Dob 503
Boston, MA 02118-2371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN202587 (MA) |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 202587 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1396067401
Christina M. Defusco, NP's National Provider Identifier is 1396067401, issued on Feb 17, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Jul 16, 2014.