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

Individual provider Registered Nurse · NPI 1164074654

Courtney Faiella, RNBCN-FNP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2019, 7 years ago. Practices with Evans Medical Foundation Inc, a 526-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

732 Harrison Avenue Preston 3rd Fl
Boston, MA 02118-2309
Phone: (617) 638-7490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN2277460 (MA)
Registered Nurse Taxonomy 163W00000X · Licence 2277460 (MA)

Record details

NPI number1164074654
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNBCN-FNP
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESOctober 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Evans Medical Foundation Inc — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Boston