Individual provider · Type 1 NPI
Renee Marie Charbonneau, NP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1891705679
Active
Practice location
300 Longwood Ave, Fegan 10
Boston, MA 02115-5724
Fax (617) 730-0466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 194491 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1891705679
Renee Marie Charbonneau, NP's National Provider Identifier is 1891705679, issued on Aug 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.