Individual
KAREN MARIE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 PEARL ST, BROCKTON, MA 02301-2817
(508) 580-1020
(508) 583-6232
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-5804
(857) 364-6604
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
146712
MA
363LF0000X
Family Nurse Practitioner
Primary
146712
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110091841A
—
MA
Enumeration date
11/24/2006
Last updated
10/26/2016
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