Wentworth, Julie L

Wentworth, Julie L is an individual health care provider with primary practice located at 850 Harrison Ave Yacc, 3Rd Floor, Boston MA 02118-4001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wentworth, Julie L can be contacted via phone (617) 638-6100.

Contact Information

Primary practice address
850 Harrison Ave Yacc, 3Rd Floor Boston MA 02118-4001
Phone: (617) 638-6100
Fax: (617) 638-6179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 271026 Massachusetts

Profile Details

NPI number 1487719951
LBN Legal business name Wentworth, Julie L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 3rd, 2014 - about 11 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 1487719951 NPPES
Massachusetts MEDICAID 110074615A

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