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Individual

MICHELLE A. HARWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, PMHNP

Contact information

Practice address
26 QUEEN STREET, WORCESTER, MA 01610-2473
(508) 860-7800
Mailing address
26 QUEEN STREET, WORCESTER, MA 01610-2473
(508) 860-7700

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN164081
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0717053
MA
Enumeration date
01/03/2008
Last updated
09/22/2020
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