Individual
MARY ERIN LADESIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN2325145
MA
363LC1500X
Community Health Nurse Practitioner
RN2325145
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2325145
MA
Other
Enumeration date
07/16/2018
Last updated
09/09/2022
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