Individual
KELLIE MARIE DECALOGERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
41 MALL ROAD, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8000
Mailing address
41 MALL RD, 41 MALL ROAD, BURLINGTON, MA 01805
(781) 744-8000
(781) 744-2273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2680606
MA
363LA2100X
Acute Care Nurse Practitioner
# 055508-23
NH
Other
Enumeration date
11/06/2013
Last updated
08/11/2021
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