Individual
MISS KELLY MARIE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 JEROME ST, MEDFORD, MA 02155-3534
(617) 372-6489
Mailing address
38 WOODS AVE, SOMERVILLE, MA 02144-1119
(617) 899-4510
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2335539
MA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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