Individual provider · Type 1 NPI

Gairlande Audiesse-Vital, NP

Family Nurse Practitioner · Brockton, MA

NPI number 1477893071 Active

Practice location

10 Meadowbrook Rd
Brockton, MA 02301-7122

Call (508) 408-9220 Map

Fax (781) 995-3586

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice locations

  • 10 Meadowbrook Road, Evans-Bmc Brockton Behavioral Health Center, Brockton, MA 02301 · (508) 408-9220

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X258891 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1477893071

Gairlande Audiesse-Vital, NP's National Provider Identifier is 1477893071, issued on Feb 20, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brockton, MA. The record was last updated on Sep 21, 2023.