Individual provider · Type 1 NPI
Shirely Koczan
Adult Health Nurse Practitioner · Boston, MA
NPI number
1962712745
Active
Practice location
1 Deaconess Rd
Boston, MA 02215-5321
Mailing address
148 Sycamore St
Somerville, MA 02145-2745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN117059 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1962712745
Shirely Koczan's National Provider Identifier is 1962712745, issued on Oct 14, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boston, MA. The record was last updated on Oct 14, 2010.