Individual
MARY L. COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 8, BOSTON, MA 02118
(617) 638-7420
(617) 638-7289
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN166148
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110024852A
—
MA
Enumeration date
11/02/2005
Last updated
07/24/2014
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