Individual
MARY MONICA PRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY, MA 02132-4927
(617) 637-5446
(857) 203-5670
Mailing address
43 DELANEY DR, WALPOLE, MA 02081-5002
(508) 660-0163
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN191076
MA
363LA2200X
Adult Health Nurse Practitioner
RN191076
MA
Other
Enumeration date
01/15/2014
Last updated
10/19/2022
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