Minah Evans Acloque, RN

Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Boston, MA

NPI 1689414302 · NPPES record last updated May 30, 2024

Key facts

NPI
1689414302
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
License
RN2378853 (MA)
Practice address
99 Topeka St
Boston, MA 02118-2717
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2378853MAMDAddiction (Substance Use Disorder) Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN2378853 MA Yes

Addresses

Primary practice location

99 Topeka St
Boston, MA 02118-2717

Mailing address

99 Topeka St
Boston, MA 02118-2717
Phone (617) 442-1499

Other providers in Boston, MA

All providers in Boston, MA · Addiction (Substance Use Disorder) Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.