Healthcare Provider Details

I. General information

NPI: 1023689510
Provider Name (Legal Business Name): PATRICK CURRAN III NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 BROOKLINE AVE
BOSTON MA
02215-5418
US

IV. Provider business mailing address

65 GATES ST APT 2
BOSTON MA
02127-3872
US

V. Phone/Fax

Practice location:
  • Phone: 617-632-3466
  • Fax:
Mailing address:
  • Phone: 857-366-0331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN2336913
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN2336913
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: