Individual
MOLLY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 919-5323
Mailing address
530 MASSACHUSETTS AVE APT 3, BOSTON, MA 02118-1464
(508) 369-5133
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2306186
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2306186
MA
Other
Enumeration date
06/10/2021
Last updated
09/06/2021
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