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Individual

MARY ERIN LADESIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
1601 WASHINGTON ST, BOSTON, MA 02118
(617) 425-2030
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2030

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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