Healthcare Provider Details

I. General information

NPI: 1821461369
Provider Name (Legal Business Name): VERONIKA TESTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2015
Last Update Date: 11/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WASHINGTON ST
BOSTON MA
02111-1552
US

IV. Provider business mailing address

800 WASHINGTON ST PO BOX 391
BOSTON MA
02111-1552
US

V. Phone/Fax

Practice location:
  • Phone: 617-636-9426
  • Fax: 617-636-2369
Mailing address:
  • Phone: 617-636-9426
  • Fax: 617-636-2369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License NumberRN189262
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: