Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN2288570 | MA |
NPI | 1053082990 |
---|---|
Provider Name | Ashley Elizabeth Cohen |
First Address | Boston, MA 02111-2664 |
Second Address | Boston, MA 02215-5491 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2021 |
Last Update Date | 21/09/2021 |