Individual
ANTOINETTE MAILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
7 EXCHANGE ST, BARRE, MA 01005-8726
(978) 285-9187
(508) 213-3982
Mailing address
PO BOX 21, BARRE, MA 01005-0021
(978) 285-9187
(508) 213-3982
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2294727
MA
Other
Enumeration date
06/14/2024
Last updated
02/12/2025
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