Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Nurse Practitioner services 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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