Healthcare Provider Details

I. General information

NPI: 1295602241
Provider Name (Legal Business Name): ANNE RYTHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2621
US

IV. Provider business mailing address

72 SAVIN HILL AVE UNIT 1
DORCHESTER MA
02125-1461
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-2000
  • Fax: 617-726-2000
Mailing address:
  • Phone: 508-560-1927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2338015
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: