Nicole Yannalfo, PA-C
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1609590744
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1609590744
- Entity type
- Individual (NPI-1)
- Name
- Nicole Yannalfo
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2022
- Certification date
- Oct 16, 2023
- Last updated
- Oct 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
55 Fruit StBoston, MA 02114-2621
Phone 617-726-2000
Mailing address
154 Sumner St Apt 3Boston, MA 02128-3348
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