Individual
COLLEEN A VISCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
131 EMERALD ST, WRENTHAM DEVELOPMENTAL CENTER, WRENTHAM, MA 02093-1902
(508) 384-5525
Mailing address
131 EMERALD STREET, WRENTHAM DEVELOPMENTAL CENTER, WRENTHAM, MA 02093
(508) 384-5525
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN260410
MA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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