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NPI Code Detail

MEDICARE: BRETT CHRISTOPHER BOSTON RN

MEDICARE: BRETT CHRISTOPHER BOSTON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse9574869FL
2367500000XCertified Registered Nurse Anesthetist152014NC

General Provider Information

NPI Number : 1568204089
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT CHRISTOPHER BOSTON RN
Provider Business Mailing Address
First Line : 1231 WOLFE ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32205-8350
Country : US
Telephone Number : 828-448-9299
Fax Number :
Provider Business Practice Location Address
First Line : 1231 WOLFE ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32205-8350
Country : US
Telephone Number : 828-448-9299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2024
Last Update Date : 09/04/2024

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Directions to “ BRETT CHRISTOPHER BOSTON RN” Practice Location

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