Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN2276517 | MA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | RN2276517 | MA |
NPI | 1013280379 |
---|---|
Provider Name | Anna Carstens Mensing |
First Address | West Roxbury, MA 02132-4927 |
Second Address | West Roxbury, MA 02132-4927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2012 |
Last Update Date | 13/07/2015 |