Individual
MRS. MARYELLEN HERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1552
(617) 665-1270
Mailing address
125 WALNUT ST, SOMERVILLE, MA 02145-2941
(617) 665-1552
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
181619
MA
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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