Healthcare Provider Details

I. General information

NPI: 1477676674
Provider Name (Legal Business Name): CINDY FISCHER LUTHERN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 MOUNT AUBURN ST SUITE 101 EPSTEIN, BALLENGER, GOLDSTEIN
CAMBRIDGE MA
02138-4656
US

IV. Provider business mailing address

575 MOUNT AUBURN ST SUITE 101 EPSTEIN, BALLENGER, GOLDSTEIN
CAMBRIDGE MA
02138-4656
US

V. Phone/Fax

Practice location:
  • Phone: 617-547-8100
  • Fax: 617-492-1118
Mailing address:
  • Phone: 617-547-8100
  • Fax: 617-492-1118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number235473
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: