Individual
SANDRA SOUSA MARIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
525 MASSACHUSETTS AVE STE 101, ACTON, MA 01720-2959
(978) 514-0747
(978) 267-3597
Mailing address
525 MASSACHUSETTS AVE STE 101, ACTON, MA 01720-2959
(978) 514-0747
(978) 267-3597
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN231505
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN231505
MA
Other
Enumeration date
07/22/2019
Last updated
08/06/2024
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