Individual
MRS. MARIANNE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
385 BROADWAY STE 4, REVERE, MA 02151-3059
(781) 485-1000
(781) 286-5418
Mailing address
385 BROADWAY STE 4, REVERE, MA 02151-3059
(781) 485-1000
(781) 286-5418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN263434
MA
363LF0000X
Family Nurse Practitioner
263434
MA
Other
Enumeration date
09/15/2008
Last updated
05/22/2023
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