Provider Demographics
NPI:1730333477
Name:HSU, FAITH VANDER LINDEN (NP)
Entity type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:VANDER LINDEN
Last Name:HSU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:MICHELLE
Other - Last Name:VANDER LINDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-754-2743
Mailing Address - Fax:617-754-2754
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-754-2743
Practice Address - Fax:617-754-2754
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA280654363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner