Individual
HERINE OMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-3308
(781) 744-8000
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7299
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN278256
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN278256
MA
363LG0600X
Gerontology Nurse Practitioner
RN278256
MA
Other
Enumeration date
08/23/2021
Last updated
05/26/2023
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