Healthcare Provider Details

I. General information

NPI: 1720723844
Provider Name (Legal Business Name): SAIJEL ALKA PATEL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 11/06/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 COMMONWEALTH AVE
BOSTON MA
02215-2800
US

IV. Provider business mailing address

PO BOX 9142
CHARLESTOWN MA
02129-9142
US

V. Phone/Fax

Practice location:
  • Phone: 617-267-7171
  • Fax:
Mailing address:
  • Phone: 617-267-7171
  • Fax: 617-262-2608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN2358161
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2358161
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2358161
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: