Individual
MARIA MICHELLE VAN PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
5 NASH ST, WESTBOROUGH, MA 01581-3606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2281170
MA
Other
Enumeration date
07/17/2006
Last updated
05/03/2016
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