Individual
IRENE GANSSLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451-1424
(781) 472-8650
Mailing address
700 CENTRAL ST, HOLLISTON, MA 01746-2414
(781) 330-9763
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
119131NP
MA
Other
Enumeration date
01/16/2007
Last updated
07/20/2015
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