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Individual

HEATHER DENISCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
115 MILL ST, BELMONT, MA 02478-1048
(617) 855-2554
Mailing address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2554

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2309403
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2309403
MA

Other

Enumeration date
10/25/2018
Last updated
09/12/2020
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