Individual
MRS. MICHELLE JEAN CISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, APRN-BC, ANP
Contact information
Practice address
1153 CENTRE STREET, SUITE 529, BOSTON, MA 02130
(617) 983-4615
(617) 983-4735
Mailing address
59 OAK AVENUE, NORTHBOROUGH, MA 01532
(508) 936-0494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
236867
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
236867
MA
Other
Enumeration date
10/03/2006
Last updated
04/29/2013
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