Most Relevant Information
Provider Data
| NPI Number: | 1003237744 |
| Provider Name: | COURTNEY WILSON DEFUSCO NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN281678 |
Most Important Dates
| Enumeration Date: | 12/24/2013 |
| Last Updated: | 01/06/2016 |
Provider Practice Location
55 FRUIT ST
BIGELOW 800
BOSTON
MA
021142621
Practice Location Phone/Fax
| Phone: | 6177262256 |
| Fax: |
Provider Mailing Location
55 FRUIT ST
BIGELOW 800
BOSTON
MA
021142621
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |