Individual
MS. ANNA THERESA MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 CENTRAL AVE, LYNN, MA 01901-1201
(781) 596-2502
Mailing address
131 MCKAY ST APT 107, BEVERLY, MA 01915-3055
(781) 922-1080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
280274
MA
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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