Individual
COLLEEN MEGAN CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SECOND AVE, WALTHAM, MA 02451-1158
(781) 434-6500
Mailing address
83 GUERNSEY ST, ROSLINDALE, MA 02131-2316
(978) 831-2367
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN2344154
MA
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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