Individual provider · NPI-1

Cassandre Accilien, NP

Nurse Practitioner, Family · Boston, MA

NPI number1073378790
StatusActive
Last updated in NPPESAug 6, 2024

Details

NPI
1073378790
Entity type
Individual (NPI-1)
Name
Mrs. Cassandre Accilien
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 21, 2024
Certification date
Aug 1, 2024
Last updated
Aug 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyRN2329248MAYes

Practice location

801 Massachusetts Ave, Ste 5&6
Crosstown Bldg
Boston, MA 02118

Phone 617-414-5951 · Fax 617-414-9201

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

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