Individual
MARY ELIZABETH TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-BC
Contact information
Practice address
706 ROGERS ST, LOWELL, MA 01852-4338
(978) 937-9333
(978) 937-9992
Mailing address
78 EDWARD ST, MEDFORD, MA 02155-6656
(207) 242-9113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
084593-23
NH
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2289980
MA
Other
Enumeration date
05/03/2021
Last updated
10/14/2021
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