Individual provider · Type 1 NPI

Larisa Vladimirovna Bukhovko, NP

Nurse Practitioner · Allston, MA

NPI number 1760145643 Active

Practice location

20 Linden St
Allston, MA 02134-1711

Mailing address

3 Broadmoor Ln
Peabody, MA 01960-4951

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAG10210012 (MA)
Nurse Practitioner Primary 363L00000XRN2290340 (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 1760145643

Larisa Vladimirovna Bukhovko, NP's National Provider Identifier is 1760145643, issued on Oct 18, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Allston, MA. The record was last updated on Oct 18, 2021.