Individual
MARY HOLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 706, BOSTON, MA 02115-5724
(857) 218-4030
Mailing address
300 LONGWOOD AVE, FEGAN 706, BOSTON, MA 02115
(857) 218-4030
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN263545
MA
Other
Enumeration date
01/29/2013
Last updated
07/18/2017
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