Individual
MARY ELLEN CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 BOSTON POST RD STE 2001, SUDBURY, MA 01776-3392
(785) 796-0189
Mailing address
490 BOSTON POST RD STE 2001, SUDBURY, MA 01776-3392
(789) 579-6018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
156838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365980
—
MA
Enumeration date
03/27/2006
Last updated
10/10/2024
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