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Mrs. Alexandra Catherine Distaso, FNP-BC
Family Nurse Practitioner in Boston, Massachusetts
NPI 1710367560

Alexandra Catherine Distaso is a Family Nurse Practitioner based in Boston, MA and is specialized in Family. Alexandra Catherine Distaso practices in Boston, MA and has the professional credentials of FNP-BC. The NPI Number for Alexandra Catherine Distaso is 1710367560 and holds a License No. RN2280088 (Massachusetts).

The current practice location address for Alexandra Catherine Distaso is 450 Brookline Ave, Boston, MA and can be reached out via phone at 617-632-4218 and via fax at 617-632-6624.

Location: 450 Brookline Ave, Boston, MA, 02215-5418
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Provider Profile Details
NPI Number
1710367560
Provider Name
Alexandra Catherine Distaso
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
450 Brookline Ave, Boston, MA, 02215-5418
Phone Number
617-632-4218
Fax Number
617-632-6624
Provider Enumeration Date
06/08/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110105490A 05 MA
institution
Provider Business Practice Location Address Details
Address
450 Brookline Ave
City
State
Zip
02215-5418
Phone Number
617-632-4218
Fax Number
617-632-6624
person
Provider Business Mailing Address Details
Address
450 Brookline Ave
City
State
Zip
02215-5418
Phone Number
617-632-4218
Fax Number
617-632-6624
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN2280088 (Massachusetts)
Definition
Definition to come...
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