Individual
THELORA EDWHYNE MARSEILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
44 W BOYLSTON ST, WORCESTER, MA 01605-1261
(508) 852-0238
Mailing address
1 WEATHERBEE RD, SHIRLEY, MA 01464-2522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2326418
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2326418
MA
Other
Enumeration date
11/16/2021
Last updated
04/25/2024
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