Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE BOEDICKER
ActiveMACKENZIE BOEDICKER is a Medical Physician Assistant healthcare provider located in BOSTON, Massachusetts. NPI 1114608940 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BOSTON, MA
Registration Details
- NPI Number
- 1114608940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2023 (3.0913159966698 yrs)
- Last Updated
- Oct 31, 2024
- License
-
PA101074 (MA)
Practice Information
- Address
-
450 BROOKLINE AVENUEBOSTON, MA, 02215Browse MA providers · Browse ZIP 02215
- Phone
- 8774423324
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| MS. DONNA M. FITZGERALD | P.A. | 1487659330 |
| MS. JANICE MACGILLIVRAY | PA-C | 1700859212 |
| MRS. MICHELLE LYN BAYTARIAN | PA-C | 1841259181 |
| CRISTOBAL CORNEJO JR. | PA-C | 1659332799 |
| TATJANA COTTA CONNORS | PA | 1669435723 |
| HELENA DIMITRIOU | PA | 1962466177 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.