Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

Organization Nurse Practitioner · NPI 1154435915

Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc is a Nurse Practitioner in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

330 Brookline Ave # E/TCC-2
Boston, MA 02215
Phone: (617) 667-3940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 78636 (MA)

Record details

NPI number1154435915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Gates — Nurse Practitioner · (617) 667-3940
NPI enumeratedAugust 18, 2006
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing addressOrthopaedic Surgery 330 Brookline Ave, E/Tcc-2, Boston, MA 02215

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