Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 274615 | MA |
N | 363LA2200X | Nurse Practitioner - Adult Health | RN274615 | MA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN274615 | MA |
NPI | 1033357124 |
---|---|
Provider Name | Mr. Mark E. Drinkwater |
First Address | Boston, MA 02132 |
Second Address | Boston, MA 02132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2009 |
Last Update Date | 22/04/2021 |