Dermovsesian, Arlene K

Dermovsesian, Arlene K is an individual health care provider with primary practice located at 830 Harrison Ave Suite 3500, Boston MA 02118-2309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dermovsesian, Arlene K can be contacted via phone (617) 638-8776.

Contact Information

Primary practice address
830 Harrison Ave Suite 3500 Boston MA 02118-2309
Phone: (617) 638-8776
Fax: (617) 414-8772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN201093 Massachusetts

Profile Details

NPI number 1720050883
LBN Legal business name Dermovsesian, Arlene K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Feb 10th, 2022 - 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 1720050883 NPPES
Massachusetts MEDICAID 110020046A

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