Individual
JULIE IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1183 MAIN ST, WORCESTER, MA 01603-2012
(508) 556-0937
Mailing address
1183 MAIN ST, WORCESTER, MA 01603-2012
(508) 556-0937
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
258639
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144769167
—
MA
Enumeration date
10/31/2017
Last updated
10/31/2017
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