Individual
ELLEN GRACE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
180 MAIN ST, ANDOVER, MA 01810-4166
(978) 749-4460
Mailing address
180 MAIN ST, ANDOVER, MA 01810-4166
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2277495
MA
Other
Enumeration date
07/15/2013
Last updated
09/13/2018
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