1417949041

Everything you always wanted to know about MRS. POWERS ANISE KIMBERLY RN, MSN, CNS, FNP 5 MS. GALLEGOS ANISE KIMBERLY but were afraid to ask.

MRS. POWERS ANISE KIMBERLY RN, MSN, CNS, FNP 5 MS. GALLEGOS ANISE KIMBERLY

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential Provider Other Name Type Code Provider Other Name Prefix Provider Other Last Name Provider Other Middle Name Provider Other First Name
MRS. POWERS ANISE KIMBERLY RN, MSN, CNS, FNP 5 MS. GALLEGOS ANISE KIMBERLY
Gender:
Female
Enumeration date:
2005-08-19
Last update date:
2008-12-17
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207RC0001X Clinical Cardiac Electrophysiology TX 664329 N
363LF0000X Family MA 278405 Y
364SA2200X Adult Health TX 664329 N

Phone Numbers

Type Number
Mailing Address Telephone Number 5129704843
Practice Location Address Telephone Number 6176432156
Mailing Address Fax Number 6177243941
Practice Location Address Fax Number 6177243941

Addresses

Type Address City State Postal Country
Mailing Address 97 LEXINGTON AVE SUITE 110 CAMBRIDGE MA 2138 MA
Practice Location Address 8 HAWTHORNE PL #1 BOSTON MA 2114 MA

Other NPI Records that share an address

NPI Name Address State City
1013986801 BOUCHER, CHARLES
Individual
8 HAWTHORNE PL MA BOSTON
1144289729 DYBDAL, DAVID
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8 HAWTHORNE PL MA BOSTON
1285600155 BHATT, AMI
Individual
8 HAWTHORNE PL MA BOSTON
1578762019 RICHARD R LIBERTHSON, MD, PC
Organization
8 HAWTHORNE PL MA BOSTON
1659362820 WONG, JOHNSON
Individual
8 HAWTHORNE PL MA BOSTON
1679771646 CHARLES A BOUCHER MD PC
Organization
8 HAWTHORNE PL MA BOSTON
1699742346 LIBERTHSON, RICHARD
Individual
8 HAWTHORNE PL MA BOSTON
1760468029 ALLERGY & ASTHMA ASSOCIATES, P
Organization
8 HAWTHORNE PL MA BOSTON