Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 176936 | MA |
NPI | 1932352846 |
---|---|
Provider Name | Winifred Marie Rioux |
First Address | Quincy, MA 02169-1019 |
Second Address | Boston, MA 02210-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2008 |
Last Update Date | 23/10/2008 |