Doctor Name: | MRS. RENA B LEVY |
NPI Number: | 1013325661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-BC |
License Number: | RN2283378 |
Business Practice Address: | 70 Centre St Apt 1f Brookline, MA - 024462841 |
Business Phone Number: | 7737268794 |
Business Fax Number: | |
Mailing Address: | 70 Centre St, Apt 1f BROOKLINE |
State: | MA |
Postal Code: | 024462841 |
Phone Number: | 7737268794 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2014 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN2283378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |