Individual
MRS. MELISSA ANN BLACKBURN-KIERKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
218 CEDAR SWAMP RD, MONSON, MA 01057-9307
(413) 237-3232
Mailing address
218 CEDAR SWAMP RD, MONSON, MA 01057-9307
(413) 237-3232
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200805
MA
Other
Enumeration date
06/05/2006
Last updated
01/18/2022
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