Individual
MICHELLE DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(781) 581-4400
(781) 592-0581
Mailing address
95 PLEASANT ST, LYNN, MA 01901-1524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2292059
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2292059
MA
Other
Enumeration date
07/17/2015
Last updated
07/22/2020
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