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Organization

MIBRAWELL LLC

Active
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Organization

MIBRAWELL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLAIRE WAKULYAKA DNP (NURSE PRACTITIONER)
(508) 301-3889
Entity
Organization

Contact information

Practice address
67 FOREST ST STE 262, MARLBOROUGH, MA 01752-3195
(508) 301-3889
Mailing address
67 FOREST ST STE 262, MARLBOROUGH, MA 01752-3195

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
04/24/2023
Last updated
04/24/2023
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