Individual
QI NA MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
59 LOWES WAY STE 401, LOWELL, MA 01851-5019
(978) 620-9845
Mailing address
10 WORTH ST, MELROSE, MA 02176-6326
(617) 842-6818
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2261786
MA
Other
Enumeration date
03/08/2023
Last updated
09/25/2023
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