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Individual

ASHLEY WELLS MUNROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
MGH- DEPT OF EMERGENCY MEDICINE, 55 FRUIT ST, AUSTEN 110, BOSTON, MA 02114
(781) 591-9311
Mailing address
275 MEDFORD ST APT 212, CHARLESTOWN, MA 02129-1989
(781) 591-9311

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2304247
MA
363A00000X
Physician Assistant
Primary
PA8299
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN2304247
MA
Enumeration date
02/26/2021
Last updated
10/07/2021
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