Healthcare Provider Details

I. General information

NPI: 1871619353
Provider Name (Legal Business Name): BRITT FRISK PADOS PHD, RN, NNP-BC, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITT ASTRID FRISK MSN, CRNP, RNC

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOLLIS ST STE 215
WELLESLEY MA
02482-4677
US

IV. Provider business mailing address

1 HOLLIS ST STE 215
WELLESLEY MA
02482-4677
US

V. Phone/Fax

Practice location:
  • Phone: 617-902-8774
  • Fax:
Mailing address:
  • Phone: 617-902-8774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN257421
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN257421
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: