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Individual

KELLY LYNNE RAMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, CNP

Contact information

Practice address
5112 ARCHSTONE AVE, TEWKSBURY, MA 01876-1870
(978) 551-1900
Mailing address
5112 ARCHSTONE AVE, TEWKSBURY, MA 01876-1870
(978) 551-1900

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
RN2261903
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2261903
MA

Other

Enumeration date
09/23/2009
Last updated
11/07/2017
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