ERLINE DESTRA NP NPI 1619120490

NPI Information

NPI: 1619120490
Provider Name: ERLINE DESTRA, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
780 ALBANY ST
BOSTON, MA
ZIP 02118
Phone: (857) 654-1000
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Erline Destra, NP is a psychiatric/mental health nurse practitioner in Boston, MA with 1 years of experience. Erline Destra, NP NPI is 1619120490. 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:

780 ALBANY ST
BOSTON, MA
ZIP 02118-755
Phone: (857) 654-1000

The NPI 1619120490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2008 and was last updated on 7/25/2023.

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	163W00000X	Registered Nurse		RN2316809	MASSACHUSETTS	No
2	176B00000X	Midwife		MW204	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2316809	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: 4/28/2024

NPI Synchronization or Removal

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