Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 239178 | MA |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 239178 | MA |
NPI | 1053366450 |
---|---|
Provider Name | Mrs. Rebecca Marie Joyce |
First Address | Cambridge, MA 02138-1632 |
Second Address | Boston, MA 02130-1402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 26/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q69765 | (02) | MA |