Individual
MS. BRANDY AULT PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP
Contact information
Practice address
180 GEORGE WASHINGTON BLVD, HULL, MA 02045-3069
(617) 376-3000
(617) 774-1906
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
(617) 774-1906
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
262850
MA
Other
Enumeration date
11/02/2007
Last updated
08/01/2013
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