National Provider Identifier
Nindra Destine, PA-C
Nindra Destine, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 638-6287.
Source: public NPPES record, last updated October 24, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1952794414
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 09, 2015
- Last Updated
- October 24, 2018
Practice Location
- 725 Albany Street
- Shapiro Lower Level
- Boston, MA 02118-2526
Phone: (617) 638-6287
Mailing Address
- 720 Harrison Ave
- Dob 503
- Boston, MA 02118-2908
Specialties
- Physician Assistant (363A00000X)
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Biography
Nindra Destine, PA-C, is a physician assistant practicing at Boston Medical Center. Public Medicare directory information lists her as part of Coastal Medical Associates and notes that she completed her physician assistant training in 2014.
Full Record
- NPI
- 1952794414
- Entity Type
- Individual
- Last Name
- Destine
- First Name
- Nindra
- Name Prefix
- Mrs.
- Credential
- PA-C
- Provider Other Last Name
- Eugene
- Provider Other First Name
- Nindra
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 720 Harrison Ave
- Mailing Address Line 2
- Dob 503
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02118-2908
- Mailing Country
- US
- Practice Street Address
- 725 Albany Street
- Practice Address Line 2
- Shapiro Lower Level
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02118-2526
- Practice Country
- US
- Practice Phone
- (617) 638-6287
- Practice Fax
- (617) 638-6284
- Enumeration Date
- March 09, 2015
- Last Updated
- October 24, 2018
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 110112686A (MA)