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Kristin Farrell Wason
Gerontology Nurse Practitioner in Boston, Massachusetts
NPI 1366980302

Kristin Farrell Wason is a Gerontology Nurse Practitioner based in Boston, MA and is specialized in Gerontology. Kristin Farrell Wason practices in Boston, MA. The NPI Number for Kristin Farrell Wason is 1366980302 and holds a License No. RN2262692 (Massachusetts).

The current practice location address for Kristin Farrell Wason is 725 Albany St, Boston, MA and can be reached out via phone at 617-414-5951 and via fax at 617-414-9157. You can also correspond with Kristin Farrell Wason through the mailing address at 801 MASSACHUSETTS AVE, BOSTON, MA - 02118-2605 (mailing address contact number: 617-414-4176).

Location: 725 Albany St, Boston, MA, 02118-2605
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Provider Profile Details
NPI Number
1366980302
Provider Name
Kristin Farrell Wason
Credential
Provider Entity Type
Individual
Gender
Female
Address
725 Albany St, Boston, MA, 02118-2605
Phone Number
617-414-5951
Fax Number
617-414-9157
Provider Enumeration Date
02/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110122621A 05 MA
institution
Provider Business Practice Location Address Details
Address
725 Albany St
City
State
Zip
02118-2526
Phone Number
617-414-5951
Fax Number
617-414-9157
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Provider Business Mailing Address Details
Address
801 Massachusetts Ave
City
State
Zip
02118-2605
Phone Number
617-414-4176
Fax Number
617-414-4231
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Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
RN2262692 (Massachusetts)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN2262692 (Massachusetts)
Definition
Definition to come...
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