Serita Renee Wilson-Clarke
Registered Nurse in Boston, MA. Individual provider (NPI-1).
NPI number1104584192
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1104584192
- Entity type
- Individual (NPI-1)
- Name
- Serita Renee Wilson-Clarke
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 7, 2021
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | rn2359781 | MA | Yes |
Practice location
398 Neponset AveBoston, MA 02122-3134
Phone 617-323-2800
Mailing address
1 Popes Hill StBoston, MA 02122-3310
Phone 617-733-0556
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