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Individual

HOLLY MILCH BONNETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P, R.N.

Contact information

Practice address
15 PARKMAN ST, SUITE 460, BOSTON, MA 02114-3117
(617) 643-5580
(617) 643-4613
Mailing address
15 PARKMAN ST, SUITE 460, BOSTON, MA 02114-3117
(617) 643-5580
(617) 643-4613

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284339
MA
363L00000X
Nurse Practitioner
Primary
2014009231
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407270689
MA
Enumeration date
02/10/2014
Last updated
11/07/2018
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