Individual
MRS. DANIELLE HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIRECTOR OF NURSING
Contact information
Practice address
529 MAIN ST STE 243, CHARLESTOWN, MA 02129-1125
(617) 870-1676
(617) 412-3004
Mailing address
6 FRANKLIN ST UNIT 1, CHARLESTOWN, MA 02129-3005
(508) 521-3080
(617) 412-3004
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
254108
MA
163WH0200X
Home Health Registered Nurse
Primary
254108
MA
163WI0500X
Infusion Therapy Registered Nurse
254108
MA
163WM0705X
Medical-Surgical Registered Nurse
254108
MA
163WN1003X
Nutrition Support Registered Nurse
254108
MA
163WW0000X
Wound Care Registered Nurse
254108
MA
Other
Enumeration date
05/29/2018
Last updated
06/16/2018
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