Individual provider · Type 1 NPI
Erline Destra, NP
Psychiatric/Mental Health Nurse Practitioner · Boston, MA
NPI number
1619120490
Active
Practice location
780 Albany St
Boston, MA 02118-2755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2316809 (MA) |
| Midwife | 176B00000X | MW204 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2316809 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1619120490
Erline Destra, NP's National Provider Identifier is 1619120490, issued on Oct 24, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boston, MA. The record was last updated on Jul 25, 2023.