Individual
MAGEN BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2014 WASHINGTON ST STE 5635TH, NEWTON, MA 02462-1607
(617) 243-6744
Mailing address
2014 WASHINGTON ST STE 5635TH, NEWTON, MA 02462-1607
(617) 243-6744
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
2300898
MA
363L00000X
Nurse Practitioner
Primary
2300898
MA
Other
Enumeration date
03/05/2018
Last updated
10/27/2021
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