Individual
MARY PRUM TALJIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47 CONGRESS ST, SALEM, MA 01970-5590
(978) 744-8388
Mailing address
27 CONGRESS ST STE 513, SALEM, MA 01970-5523
(978) 744-8388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2290634
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2290634
MA
Other
Enumeration date
07/28/2021
Last updated
08/03/2023
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