Larisa V Bukhovko, NP
Nurse Practitioner in Allston, Massachusetts
1760145643- Practice location
- 20 Linden St, Allston, MA 02134-1711
- Phone
- 617-782-9900
- Fax
- —
- Last updated
- October 18, 2021
Larisa Vladimirovna Bukhovko is a Nurse Practitioner based in Allston, MA. Larisa Vladimirovna Bukhovko practices in Allston, MA and has the professional credentials of NP. The NPI Number for Larisa Vladimirovna Bukhovko is 1760145643 and holds a License No. AG10210012 (MA). The current practice location address for Larisa Vladimirovna Bukhovko is 20 Linden St, Allston, MA 02134-1711 and can be reached out via phone at 617-782-9900.
Provider Profile Details
- NPI Number
- 1760145643
- Provider Name
- Larisa Vladimirovna Bukhovko
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Linden St, Allston, MA 02134-1711
- Phone Number
- 617-782-9900
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 18, 2021
- Last Update Date
- October 18, 2021
- Certification Date
- October 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Linden St
Allston, MA 02134-1711 - City
- Allston
- State
- Massachusetts
- Zip
- 02134-1711
- Phone Number
- 617-782-9900
Provider Business Mailing Address Details
- Address
- 3 Broadmoor Ln
Peabody, MA 01960-4951 - City
- Peabody
- State
- MA
- Zip
- 01960-4951
- Phone Number
- 978-818-5705
License Information
- License Number (1)
- AG10210012
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- RN2290340
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Larisa V Bukhovko, NP?
The NPI number of Larisa V Bukhovko, NP is 1760145643. It was assigned on October 18, 2021 and is currently active in the NPPES registry.
What is the specialty of Larisa V Bukhovko, NP?
Larisa V Bukhovko, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number AG10210012.
Where does Larisa V Bukhovko, NP practice?
The practice location is 20 Linden St, Allston, MA 02134-1711. The office can be reached at 617-782-9900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760145643 directly on the NPPES registry website.