BERDIAEFFE ETIENNE RN BSN NPI 1528717162

NPI Information

NPI: 1528717162
Provider Name: BERDIAEFFE ETIENNE, RN, BSN
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
632 BLUE HILL AVE
BOSTON, MA
ZIP 02121
Phone: (617) 825-3400
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Berdiaeffe Etienne, RN, BSN is a general practice in Boston, MA. Berdiaeffe Etienne, RN, BSN NPI is 1528717162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

632 BLUE HILL AVE
BOSTON, MA
ZIP 02121-213
Phone: (617) 825-3400

The enumeration date for this NPI number is 3/21/2022 and was last updated on 3/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		20142319	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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