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Individual

MARLENE PUTNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
732 HARRISON AVE, 3RD FLOOR WEST, PRESTON BUILDING, BOSTON, MA 02118
(617) 638-7350
(617) 638-7228
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN263262
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110159074A
MA
05
3138583
NH
Enumeration date
04/08/2019
Last updated
06/12/2024
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