Individual
MICHELL PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
35 MARKET ST, LOWELL, MA 01852-6245
(978) 459-0389
(781) 996-3121
Mailing address
54 WILLIAMS AVE, LYNN, MA 01902-1831
(978) 595-6795
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2303567
MA
Other
Enumeration date
01/29/2024
Last updated
04/02/2025
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