Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 250429 | MA |
NPI | 1295046076 |
---|---|
Provider Name | Karla Hoxha Brown |
First Address | Boston, MA 02111-1901 |
Second Address | Boston, MA 02111-1901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 08/07/2013 |