Individual
MRS. CELIA R. UNDERDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
88 LINCOLN ST, FRAMINGHAM, MA 01702-6354
(508) 469-3246
Mailing address
88 LINCOLN ST, FRAMINGHAM, MA 01702-6354
(508) 469-3246
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN2262788
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110022061E
GROUP MEDICAID NUMBER
MA
Enumeration date
11/13/2009
Last updated
02/16/2023
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