Individual
VANNARY KHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, FNP-C
Contact information
Practice address
330 BAKER AVE, CONCORD, MA 01742-2129
(978) 287-9300
Mailing address
27 EMERY ST, LOWELL, MA 01851-4613
(617) 406-9770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
283609
MA
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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