Individual provider · Type 1 NPI

Peris Gatiba, AGNP

Nurse Practitioner · Boston, MA

NPI number 1568015154 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

9 Mohawk St
Sharon, MA 02067-2927

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2271804 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1568015154

Peris Gatiba, AGNP's National Provider Identifier is 1568015154, issued on Jul 22, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Dec 11, 2019.