Khristenko, Reava

Khristenko, Reava is an sole proprietor health care provider with primary practice located at 150 S Huntington Ave , Boston MA 02130-4817. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Khristenko, Reava can be contacted via phone (617) 232-9500.

Contact Information

Primary practice address
150 S Huntington Ave Boston MA 02130-4817
Phone: (617) 232-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X RN2306581 Massachusetts
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X RN2306581 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2306581 Massachusetts

Profile Details

NPI number 1093229379
LBN Legal business name Khristenko, Reava
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2017
Last updated Nov 25th, 2017 - about 7 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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