Individual
BRENNA MARY CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, ELLISON 16, BOSTON, MA 02114-2621
(617) 827-9369
Mailing address
2 WESTMORELAND ST # 2, BOSTON, MA 02124-5124
(617) 827-9369
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2304503
MA
363L00000X
Nurse Practitioner
Primary
RN2304503
MA
Other
Enumeration date
07/20/2024
Last updated
09/19/2024
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