Individual
KELLY CZWORKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
323 LOWELL ST, ANDOVER, MA 01810-4501
(978) 783-5000
(978) 313-8184
Mailing address
323 LOWELL ST, ANDOVER, MA 01810-4501
(978) 783-5000
(978) 313-8184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
264560
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP5614
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/04/2006
Last updated
10/20/2016
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