Aggie J Sutherland
Nurse Practitioner in Boston, MA. Individual provider (NPI-1).
NPI number1053905331
StatusActive
Last updated in NPPESAug 31, 2023
Details
- NPI
- 1053905331
- Entity type
- Individual (NPI-1)
- Name
- Aggie J Sutherland
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2021
- Certification date
- Aug 31, 2023
- Last updated
- Aug 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2363775 | MA | Yes |
| 163W00000X | Registered Nurse | RN63824 | RI |
Practice location
125 Parker Hill Ave Ste 2Boston, MA 02120-2865
Phone 617-754-5000
Mailing address
125 Parker Hill Ave Ste 2Boston, MA 02120-2865
Phone 617-754-5000
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