Tutor, Maxine

Tutor, Maxine is an individual health care provider with primary practice located at 555 Amory St , Boston MA 02130-2652. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Tutor, Maxine can be contacted via phone (617) 524-1120.

Contact Information

Primary practice address
555 Amory St Boston MA 02130-2652
Phone: (617) 524-1120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 111186 Massachusetts

Profile Details

NPI number 1134370554
LBN Legal business name Tutor, Maxine
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2008
Last updated Jul 25th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134370554 NPPES
Massachusetts MEDICAID 1851853

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