Individual
CAROL MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
275 GROVE ST, SUITE 3-300, AUBURNDALE, MA 02466-2272
(617) 559-8444
Mailing address
275 GROVE ST, SUITE 3-300, AUBURNDALE, MA 02466-2272
(617) 559-8444
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN/NP142713
MA
Other
Enumeration date
12/09/2010
Last updated
12/18/2010
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