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Liana Brockway, PA-C,RD,LDN
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1639759954

Liana Brockway is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Liana Brockway practices in Boston, MA and has the professional credentials of PA-C,RD,LDN. The NPI Number for Liana Brockway is 1639759954 and holds a License No. 1183264 (Massachusetts).

The current practice location address for Liana Brockway is 55 Fruit St, Boston, MA and can be reached out via phone at 860-798-0268.

Location: 55 Fruit St, Boston, MA, 02114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639759954
Provider Name
Liana Brockway
Credential
PA-C,RD,LDN
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA, 02114
Phone Number
860-798-0268
Fax Number
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2632
Phone Number
860-798-0268
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2632
Phone Number
860-798-0268
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1183264 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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