Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN2279418 | MA |
NPI | 1023426640 |
---|---|
Provider Name | Miss Julie P. Dunne |
First Address | Cambridge, MA 02138-5109 |
Second Address | Cambridge, MA 02138-5109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2014 |
Last Update Date | 03/08/2015 |