Courtney Faiella, RN BCN-FNP
Nurse Practitioner, Family in Boston, MA. Individual provider (NPI-1).
NPI number1164074654
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1164074654
- Entity type
- Individual (NPI-1)
- Name
- Courtney Faiella
- Credential
- RN BCN-FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN2277460 | MA | Yes |
| 163W00000X | Registered Nurse | 2277460 | MA |
Practice location
732 Harrison AvenuePreston, 3rd Floor
Boston, MA 02118-2309
Phone 617-638-7490
Mailing address
801 Albany StreetFl Ground
Boston, MA 02119
Phone 617-414-5405
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