Larisa Vladimirovna Bukhovko, NP
Nurse Practitioner in Allston, MA. Individual provider (NPI-1).
NPI number1760145643
StatusActive
Last updated in NPPESOct 18, 2021
Details
- NPI
- 1760145643
- Entity type
- Individual (NPI-1)
- Name
- Larisa Vladimirovna Bukhovko
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2021
- Certification date
- Oct 18, 2021
- Last updated
- Oct 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN2290340 | MA | Yes |
| 363L00000X | Nurse Practitioner | AG10210012 | MA |
Practice location
20 Linden StAllston, MA 02134-1711
Phone 617-782-9900
Mailing address
3 Broadmoor LnPeabody, MA 01960-4951
Phone 978-818-5705
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nurse Practitioner providers in Allston, MA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.