Most Relevant Information
Provider Data
| NPI Number: | 1003446311 |
| Provider Name: | THERESA BUI CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN2331932 |
Most Important Dates
| Enumeration Date: | 01/26/2020 |
| Last Updated: | 01/26/2020 |
Provider Practice Location
101 MAIN ST STE 201
MEDFORD
MA
021554530
Practice Location Phone/Fax
| Phone: | 7813961288 |
| Fax: |
Provider Mailing Location
101 MAIN ST STE 201
MEDFORD
MA
021554530
Provider Mailing Phone/Fax
| Phone: | 7813961288 |
| Fax: |