Cushman, Alexis

Cushman, Alexis is an individual health care provider with primary practice located at 725 Albany St, Suite 7B Shapiro Bldg, Boston MA 02118. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Cushman, Alexis can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany St, Suite 7B Shapiro Bldg Boston MA 02118
Phone: (617) 638-8456
Fax: (617) 638-8465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2337543 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2337543 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN2337543 Massachusetts

Profile Details

NPI number 1376218412
LBN Legal business name Cushman, Alexis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2021
Last updated Jun 20th, 2023 - about 2 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 1376218412 NPPES
Massachusetts MEDICAID 110180751A
Massachusetts MEDICAID 3138558

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