Individual
MAUREEN ANN O'KANE-SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 VARNUM AVE, STE 201, LOWELL, MA 01854
(978) 452-9700
(978) 441-6075
Mailing address
275 VARNUM AVE, STE 201, LOWELL, MA 01854
(978) 452-9700
(978) 441-6075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
193622
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193622
LICENSE
MA
Enumeration date
03/17/2008
Last updated
09/04/2019
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