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Mahala St Paul, NP
Nurse Practitioner in Boston, Massachusetts
NPI 1174126601

Mahala St Paul is a Nurse Practitioner based in Dorchester, MA. Mahala St Paul practices in Boston, MA and has the professional credentials of NP. The NPI Number for Mahala St Paul is 1174126601 and holds a License No. RN2293353 (Massachusetts).

The current practice location address for Mahala St Paul is 450 Brookline Ave, Boston, MA and can be reached out via phone at 617-632-3000. You can also correspond with Mahala St Paul through the mailing address at 24 RILL ST, DORCHESTER, MA - 02125-2116 (mailing address contact number: 617-304-7098).

Location: 450 Brookline Ave, Boston, MA, 02125-2116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174126601
Provider Name
Mahala St Paul
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
450 Brookline Ave, Boston, MA, 02125-2116
Phone Number
617-632-3000
Fax Number
Provider Enumeration Date
11/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
450 Brookline Ave
City
Boston
State
Massachusetts
Zip
02215-5418
Phone Number
617-632-3000
Fax Number
person
Provider Business Mailing Address Details
Address
450 Brookline Ave
City
Boston
State
Massachusetts
Zip
02215-5418
Phone Number
617-632-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN2293353 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
RN2293353 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN2293353 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
RN2293353 (Massachusetts)
Definition
Definition to come...
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