Individual
MS. MICHELE THERESA MCHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6000
(781) 485-6405
Mailing address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6000
(781) 485-6405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
122482
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0363260
—
MA
Enumeration date
10/05/2006
Last updated
06/03/2008
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